Esmeralda Lizbeth Soria
Behavior Technician in San Jose, CA. Individual provider (NPI-1).
NPI number1316615933
StatusActive
Last updated in NPPESAug 30, 2021
Details
- NPI
- 1316615933
- Entity type
- Individual (NPI-1)
- Name
- Esmeralda Lizbeth Soria
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2021
- Certification date
- Aug 30, 2021
- Last updated
- Aug 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
14650 Story RdSan Jose, CA 95127-3448
Phone 669-350-3944
Mailing address
14650 Story RdSan Jose, CA 95127-3448
Phone 669-350-3944
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