Donovan G Gardner
Assistant Behavior Analyst in Modesto, CA. Individual provider (NPI-1).
NPI number1164032314
StatusActive
Last updated in NPPESAug 3, 2020
Details
- NPI
- 1164032314
- Entity type
- Individual (NPI-1)
- Name
- Donovan G Gardner
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2020
- Certification date
- Aug 3, 2020
- Last updated
- Aug 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106E00000X | Assistant Behavior Analyst | – | CA | Yes |
Practice location
1115 14th StModesto, CA 95354-1003
Phone 209-572-2589 · Fax 209-572-1461
Mailing address
Po Box 5157Modesto, CA 95352-5157
Phone 209-572-2589 · Fax 209-353-3353
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All 69 Assistant Behavior Analyst providers in Modesto · All 10,803 providers in Modesto
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