Nancy Carrillo Rosas
Behavior Technician in Mammoth Lakes, CA. Individual provider (NPI-1).
NPI number1346830338
StatusActive
Last updated in NPPESJan 22, 2021
Details
- NPI
- 1346830338
- Entity type
- Individual (NPI-1)
- Name
- Nancy Carrillo Rosas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2021
- Certification date
- Jan 22, 2021
- Last updated
- Jan 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1290 Tavern RoadMammoth Lakes, CA 93546-2619
Phone 769-924-1740
Mailing address
1290 Tavern RoadMammoth Lakes, CA 93546-2619
Phone 760-924-1740
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