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Virna Yaneth Sandoval

Behavior Technician in Antioch, CA. Individual provider (NPI-1).

NPI number1053001065
StatusActive
Last updated in NPPESMay 11, 2023

Details

NPI
1053001065
Entity type
Individual (NPI-1)
Name
Virna Yaneth Sandoval
Sex
Female
Sole proprietor
No
Enumeration date
May 11, 2023
Certification date
May 11, 2023
Last updated
May 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1212 San Jose Dr
Antioch, CA 94509-4634

Phone 925-301-5833

Mailing address

1212 San Jose Dr
Antioch, CA 94509-4634

Phone 925-301-5833

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