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Ian Macintosh

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

NPI number1134036775
StatusActive
Last updated in NPPESAug 27, 2026

Details

NPI
1134036775
Entity type
Individual (NPI-1)
Name
Mr. Ian Macintosh
Sex
Male
Sole proprietor
No
Enumeration date
Aug 27, 2026
Certification date
Aug 27, 2026
Last updated
Aug 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–CAYes

Practice location

1211 W California Ave
Mill Valley, CA 94941-3417

Phone 141-569-3833

Mailing address

1211 W California Ave
Mill Valley, CA 94941-3417

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