Dakota Malkemus
Behavior Technician in Monrovia, CA. Individual provider (NPI-1).
NPI number1477242501
StatusActive
Last updated in NPPESMay 4, 2023
Details
- NPI
- 1477242501
- Entity type
- Individual (NPI-1)
- Name
- Dakota Malkemus
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 4, 2023
- Certification date
- May 4, 2023
- Last updated
- May 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
612 S Myrtle Ave Ste 100Monrovia, CA 91016-3406
Phone 760-269-4242
Mailing address
12397 Kiowa RdApple Valley, CA 92308-6953
Phone 702-510-3870
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