Elodia June Nieto
Behavior Technician in Merced, CA. Individual provider (NPI-1).
NPI number1124754239
StatusActive
Last updated in NPPESJul 29, 2022
Details
- NPI
- 1124754239
- Entity type
- Individual (NPI-1)
- Name
- Elodia June Nieto
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2022
- Certification date
- Jul 29, 2022
- Last updated
- Jul 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
341 Collins DrMerced, CA 95348-3105
Phone 209-276-6832
Mailing address
3331 M StMerced, CA 95348-2714
Phone 888-512-2695
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