Garrett O'Callaghan
Behavior Technician in Riverside, CA. Individual provider (NPI-1).
NPI number1164020632
StatusActive
Last updated in NPPESOct 15, 2020
Details
- NPI
- 1164020632
- Entity type
- Individual (NPI-1)
- Name
- Garrett O'Callaghan
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2020
- Certification date
- Oct 15, 2020
- Last updated
- Oct 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2155 Chicago Ave Ste 203Riverside, CA 92507-2209
Phone 951-880-0750
Mailing address
18726 S Western Ave Ste 408Gardena, CA 90248-3858
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