Roger T Baduria
Behavior Technician in Fullerton, CA. Individual provider (NPI-1).
NPI number1093594871
StatusActive
Last updated in NPPESSep 21, 2023
Details
- NPI
- 1093594871
- Entity type
- Individual (NPI-1)
- Name
- Roger T Baduria
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2023
- Certification date
- Sep 21, 2023
- Last updated
- Sep 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
713 W Commonwealth AveFullerton, CA 92832-1612
Phone 714-879-4274
Mailing address
713 W Commonwealth AveFullerton, CA 92832-1612
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