Robert Gabriel Pardorla III
Behavior Technician in Riverside, CA. Individual provider (NPI-1).
NPI number1164087961
StatusActive
Last updated in NPPESMay 7, 2019
Details
- NPI
- 1164087961
- Entity type
- Individual (NPI-1)
- Name
- Robert Gabriel Pardorla III
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 7, 2019
- Last updated
- May 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
11801 Pierce St Ste 200Riverside, CA 92505-4400
Phone 657-236-1287 · Fax 714-333-4535
Mailing address
Po Box 53413Irvine, CA 92619-3413
Phone 657-236-1287 · Fax 714-333-4535
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