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Azucena Natalie Serratos-Michel

Behavior Technician in Pleasanton, CA. Individual provider (NPI-1).

NPI number1164056479
StatusActive
Last updated in NPPESFeb 25, 2020

Details

NPI
1164056479
Entity type
Individual (NPI-1)
Name
Azucena Natalie Serratos-Michel
Sex
Female
Sole proprietor
No
Enumeration date
Feb 25, 2020
Certification date
Feb 25, 2020
Last updated
Feb 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–CAYes

Practice location

5820 Stoneridge Mall Rd Ste 205
Pleasanton, CA 94588-3347

Phone 877-418-2978

Mailing address

565 Shepherd Ave Apt 1
Hayward, CA 94544-4529

Phone 510-470-8900

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