Caleb Boyer
Behavior Technician in Rohnert Park, CA. Individual provider (NPI-1).
NPI number1164054029
StatusActive
Last updated in NPPESFeb 9, 2020
Details
- NPI
- 1164054029
- Entity type
- Individual (NPI-1)
- Name
- Caleb Boyer
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 9, 2020
- Certification date
- Feb 9, 2020
- Last updated
- Feb 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2 Padre PkwyRohnert Park, CA 94928-2124
Phone 707-308-9480
Mailing address
496 Donna DrWindsor, CA 95492-9635
Phone 707-308-9480
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