John Lorenzo Galimba Penacerrada
Behavior Technician in Oakley, CA. Individual provider (NPI-1).
NPI number1023725322
StatusActive
Last updated in NPPESNov 4, 2022
Details
- NPI
- 1023725322
- Entity type
- Individual (NPI-1)
- Name
- John Lorenzo Galimba Penacerrada
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 4, 2022
- Certification date
- Nov 4, 2022
- Last updated
- Nov 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
90 Ridge Crest CtOakley, CA 94561-1551
Phone 925-354-3895
Mailing address
90 Ridge Crest CtOakley, CA 94561-1551
Phone 925-354-3895
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