Rhonda Lea Hallock
Behavior Technician in Bayside, CA. Individual provider (NPI-1).
NPI number1164032108
StatusActive
Last updated in NPPESAug 4, 2020
Details
- NPI
- 1164032108
- Entity type
- Individual (NPI-1)
- Name
- Rhonda Lea Hallock
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2020
- Certification date
- Aug 4, 2020
- Last updated
- Aug 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-17-36212 | CA | Yes |
Practice location
2670 Jacoby Creek RdBayside, CA 95524-9379
Phone 707-672-4885
Mailing address
3081 Pomona LnArcata, CA 95521-5199
Phone 707-599-3941
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