Fontes, Iliana Daniella

Fontes, Iliana Daniella is an individual health care provider with primary practice located at 1411 W 190Th St , Gardena CA 90248-4324. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Fontes, Iliana Daniella can be contacted via phone (310) 719-3908.

Contact Information

Primary practice address
1411 W 190Th St Gardena CA 90248-4324
Phone: (310) 719-3908
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMF 76395 California
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X California

Profile Details

NPI number 1902212533
LBN Legal business name Fontes, Iliana Daniella
Credentials MFT INTERN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2014
Last updated Jan 2nd, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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