Christopher Tom
Behavior Technician in Los Angeles, CA. Individual provider (NPI-1).
NPI number1114735339
StatusActive
Last updated in NPPESDec 19, 2024
Details
- NPI
- 1114735339
- Entity type
- Individual (NPI-1)
- Name
- Christopher Tom
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2024
- Certification date
- Dec 19, 2024
- Last updated
- Dec 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3031 Beverly Blvd Ste BLos Angeles, CA 90057-1013
Phone 323-644-9380
Mailing address
3031 Beverly Blvd Ste BLos Angeles, CA 90057-1013
Phone 323-644-9380
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