Divya Bangalore Shyam Sundar I
Behavior Technician in Santa Clara, CA. Individual provider (NPI-1).
NPI number1417656265
StatusActive
Last updated in NPPESMar 1, 2023
Details
- NPI
- 1417656265
- Entity type
- Individual (NPI-1)
- Name
- Divya Bangalore Shyam Sundar I
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2023
- Certification date
- Mar 1, 2023
- Last updated
- Mar 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3575 Monroe St Apt 204Santa Clara, CA 95051-7762
Phone 408-329-3272
Mailing address
3575 Monroe St Apt 204Santa Clara, CA 95051-7762
Phone 408-329-3272
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