Lacretia Travis
Behavior Technician in Salinas, CA. Individual provider (NPI-1).
NPI number1164061149
StatusActive
Last updated in NPPESDec 23, 2019
Details
- NPI
- 1164061149
- Entity type
- Individual (NPI-1)
- Name
- Lacretia Travis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 23, 2019
- Certification date
- Dec 23, 2019
- Last updated
- Dec 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4 Rossi CirSuite 141
Salinas, CA 93907-2362
Phone 303-989-8169
Mailing address
4 Rossi CirSuite 141
Salinas, CA 93907-2362
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