Martin Slyngstad
Behavior Technician in Santa Clara, CA. Individual provider (NPI-1).
NPI number1164078085
StatusActive
Last updated in NPPESAug 15, 2019
Details
- NPI
- 1164078085
- Entity type
- Individual (NPI-1)
- Name
- Mr. Martin Slyngstad
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2019
- Last updated
- Aug 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
1171 Homestead RdSanta Clara, CA 95050-5478
Phone 408-320-2590
Mailing address
1665 Fairwood AveSan Jose, CA 95125-4939
Phone 408-601-9070
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