Raul Bravo
Behavior Technician in Anaheim, CA. Individual provider (NPI-1).
NPI number1164058822
StatusActive
Last updated in NPPESMar 13, 2020
Details
- NPI
- 1164058822
- Entity type
- Individual (NPI-1)
- Name
- Raul Bravo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 13, 2020
- Certification date
- Mar 13, 2020
- Last updated
- Mar 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1301 E Orangewood AveAnaheim, CA 92805-6807
Phone 800-249-1266
Mailing address
1301 E Orangewood AveAnaheim, CA 92805-6807
Phone 800-249-1266
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