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Dayvelle Redicks

Behavior Technician in El Dorado Hills, CA. Individual provider (NPI-1).

NPI number1316632243
StatusActive
Last updated in NPPESApr 6, 2023

Details

NPI
1316632243
Entity type
Individual (NPI-1)
Name
Dayvelle Redicks
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 6, 2023
Certification date
Apr 6, 2023
Last updated
Apr 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

4980 Hillsdale Cir Ste Abc
El Dorado Hills, CA 95762-5726

Phone 408-623-7713

Mailing address

4980 Hillsdale Cir Ste Abc
El Dorado Hills, CA 95762-5726

Phone 408-623-7713

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