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Tanya Bravo

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

NPI number1619707080
StatusActive
Last updated in NPPESAug 1, 2024

Details

NPI
1619707080
Entity type
Individual (NPI-1)
Name
Tanya Bravo
Sex
Female
Sole proprietor
No
Enumeration date
Aug 1, 2024
Certification date
Aug 1, 2024
Last updated
Aug 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

87 W March Ln
Stockton, CA 95207-5741

Phone 209-342-7353

Mailing address

87 W March Ln
Stockton, CA 95207-5741

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