Fatima Maria Grace Dishaw
Behavior Technician in Simi Valley, CA. Individual provider (NPI-1).
NPI number1194579342
StatusActive
Last updated in NPPESApr 15, 2024
Details
- NPI
- 1194579342
- Entity type
- Individual (NPI-1)
- Name
- Fatima Maria Grace Dishaw
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2024
- Certification date
- Apr 15, 2024
- Last updated
- Apr 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1900 E Los Angeles Ave Ste 100Simi Valley, CA 93065-6560
Phone 805-537-0620
Mailing address
5850 Granite Pkwy Ste 600Plano, TX 75024-6753
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All 132 Behavior Technician providers in Simi Valley · All 2,226 providers in Simi Valley
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