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Carlos Gavino

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

NPI number1114478641
StatusActive
Last updated in NPPESFeb 21, 2018

Details

NPI
1114478641
Entity type
Individual (NPI-1)
Name
Carlos Gavino
Sex
Male
Sole proprietor
No
Enumeration date
Oct 19, 2016
Last updated
Feb 21, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

5820 Stoneridge Mall Dr, Suite 205
Pleasanton, CA 94588

Phone 877-418-2978

Mailing address

5820 Stoneridge Mall Rd Ste 205
Pleasanton, CA 94588-3347

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