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Michael Santos

Behavior Technician in Tustin, CA. Individual provider (NPI-1).

NPI number1508326331
StatusActive
Last updated in NPPESMar 20, 2019

Details

NPI
1508326331
Entity type
Individual (NPI-1)
Name
Michael Santos
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 20, 2019
Last updated
Mar 20, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1405 Manchester Way
Tustin, CA 92782-1785

Phone 714-856-2696

Mailing address

1405 Manchester Way
Tustin, CA 92782-1785

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