Audrey Masuoka
Behavior Technician in San Diego, CA. Individual provider (NPI-1).
NPI number1043784697
StatusActive
Last updated in NPPESJan 16, 2019
Details
- NPI
- 1043784697
- Entity type
- Individual (NPI-1)
- Name
- Audrey Masuoka
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2019
- Last updated
- Jan 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
9920 Pacific Heights Blvd Ste 150San Diego, CA 92121-4361
Phone 855-824-5669
Mailing address
2037 Burton St Apt 47San Diego, CA 92111-7054
Phone 619-850-6443
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