Takiesha Chestnut
Behavior Technician in Oakland, CA. Individual provider (NPI-1).
NPI number1104512482
StatusActive
Last updated in NPPESApr 11, 2023
Details
- NPI
- 1104512482
- Entity type
- Individual (NPI-1)
- Name
- Takiesha Chestnut
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2023
- Certification date
- Apr 11, 2023
- Last updated
- Apr 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2415 Valdez St Unit 601Oakland, CA 94612-3625
Phone 510-910-4449
Mailing address
904 W Riverside Ave # 1137Spokane, WA 99201-1011
Phone 831-331-8529
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