Tulasi Roubideaux
Behavior Technician in Concord, CA. Individual provider (NPI-1).
NPI number1124696752
StatusActive
Last updated in NPPESJun 10, 2021
Details
- NPI
- 1124696752
- Entity type
- Individual (NPI-1)
- Name
- Tulasi Roubideaux
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2021
- Certification date
- Jun 10, 2021
- Last updated
- Jun 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1200 Concord Ave Ste 100Concord, CA 94520-4969
Phone 510-832-4383
Mailing address
1200 Concord Ave Ste 100Concord, CA 94520-4969
Phone 510-832-4383
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