Melisa Racho
Behavior Technician in Stockton, CA. Individual provider (NPI-1).
NPI number1154091817
StatusActive
Last updated in NPPESSep 15, 2021
Details
- NPI
- 1154091817
- Entity type
- Individual (NPI-1)
- Name
- Melisa Racho
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 15, 2021
- Certification date
- Sep 15, 2021
- Last updated
- Sep 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2453 Grand Canal BlvdStockton, CA 95207-8259
Phone 855-223-7123
Mailing address
16782 Von Karman Ave Ste 11Irvine, CA 92606-2417
Phone 855-223-7123
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