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Thomas Guadalupe Espino

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

NPI number1104496348
StatusActive
Last updated in NPPESJun 29, 2021

Details

NPI
1104496348
Entity type
Individual (NPI-1)
Name
Thomas Guadalupe Espino
Sex
Male
Sole proprietor
No
Enumeration date
Jun 29, 2021
Certification date
Jun 29, 2021
Last updated
Jun 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

713 W Commonwealth Ave Ste C
Fullerton, CA 92832-1612

Phone 714-879-4274 · Fax 714-879-2274

Mailing address

713 W Commonwealth Ave Ste C
Fullerton, CA 92832-1612

Phone 714-879-4272

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