Trinaya Krishnan Bokam
Behavior Technician in Van Nuys, CA. Individual provider (NPI-1).
NPI number1235955352
StatusActive
Last updated in NPPESNov 25, 2024
Details
- NPI
- 1235955352
- Entity type
- Individual (NPI-1)
- Name
- Trinaya Krishnan Bokam
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 25, 2024
- Certification date
- Nov 24, 2024
- Last updated
- Nov 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
16600 Sherman Way Ste 178Van Nuys, CA 91406-3875
Phone 818-235-1414
Mailing address
16600 Sherman Way Ste 178Van Nuys, CA 91406-3875
Phone 818-235-1414
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