Severiano Depardon
Behavior Technician in San Diego, CA. Individual provider (NPI-1).
NPI number1164074555
StatusActive
Last updated in NPPESJul 15, 2019
Details
- NPI
- 1164074555
- Entity type
- Individual (NPI-1)
- Name
- Severiano Depardon
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2019
- Last updated
- Jul 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
8885 Rio San Diego Dr Ste 340San Diego, CA 92108-1669
Phone 619-795-9925
Mailing address
8885 Rio San Diego Dr Ste 340San Diego, CA 92108-1669
Phone 619-795-9925
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