Angel Moreno
Behavior Technician in Elk Grove, CA. Individual provider (NPI-1).
NPI number1548755325
StatusActive
Last updated in NPPESSep 9, 2019
Details
- NPI
- 1548755325
- Entity type
- Individual (NPI-1)
- Name
- Angel Moreno
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2018
- Last updated
- Sep 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 18-54532 | CA | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
9355 E Stockton Blvd Ste 100Elk Grove, CA 95624-9476
Phone 916-683-1109 · Fax 916-683-1140
Mailing address
Po Box 5157Modesto, CA 95352-5157
Phone 209-572-2589 · Fax 209-572-1461
Other practice locations
7567 Amador Valley Blvd Ste 109
Dublin, CA 94568-2442
Dublin, CA 94568-2442
Phone 866-206-2008
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All 1,517 Behavior Technician providers in Elk Grove · All 4,410 providers in Elk Grove
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