Healthcare Provider Details

I. General information

NPI: 1952227431
Provider Name (Legal Business Name): FRAGRANCE OF THE SPIRIT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 N SOLANO PRIVADO APT B
ONTARIO CA
91764-6847
US

IV. Provider business mailing address

1120 N SOLANO PRIVADO APT B
ONTARIO CA
91764-6847
US

V. Phone/Fax

Practice location:
  • Phone: 909-230-3283
  • Fax:
Mailing address:
  • Phone: 909-230-3283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: ARIYAH PERRY
Title or Position: PRESIDENT
Credential:
Phone: 909-230-3283