Kristina Mackamul
Behavior Technician in Vista, CA. Individual provider (NPI-1).
NPI number1104501477
StatusActive
Last updated in NPPESJun 15, 2023
Details
- NPI
- 1104501477
- Entity type
- Individual (NPI-1)
- Name
- Kristina Mackamul
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2023
- Certification date
- Jun 15, 2023
- Last updated
- Jun 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
938 Eucalyptus AveVista, CA 92084-6327
Phone 760-710-2836
Mailing address
938 Eucalyptus AveVista, CA 92084-6327
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