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Kenneth Velasco Repayo

Behavior Analyst in San Ramon, CA. Individual provider (NPI-1).

NPI number1043672389
StatusActive
Last updated in NPPESMar 25, 2016

Details

NPI
1043672389
Entity type
Individual (NPI-1)
Name
Mr. Kenneth Velasco Repayo
Sex
Male
Sole proprietor
No
Enumeration date
Mar 25, 2016
Last updated
Mar 25, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

1 Crow Canyon Ct. Ste# 100
San Ramon, CA 94583

Phone 888-531-8385 · Fax 925-264-1902

Mailing address

1 Crow Canyon Ct. Ste# 100
San Ramon, CA 94583

Phone 888-531-8385 · Fax 925-264-1902

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