Autumn Andrade
Behavior Technician in Apple Valley, CA. Individual provider (NPI-1).
NPI number1609656115
StatusActive
Last updated in NPPESOct 2, 2023
Details
- NPI
- 1609656115
- Entity type
- Individual (NPI-1)
- Name
- Autumn Andrade
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2023
- Certification date
- Oct 2, 2023
- Last updated
- Oct 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
16095 Tuscola RdApple Valley, CA 92307-1319
Phone 760-269-4242
Mailing address
16095 Tuscola RdApple Valley, CA 92307-1319
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