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Jose Salazar

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

NPI number1649763566
StatusActive
Last updated in NPPESJun 14, 2018

Details

NPI
1649763566
Entity type
Individual (NPI-1)
Name
Jose Salazar
Sex
Male
Sole proprietor
No
Enumeration date
Jun 14, 2018
Last updated
Jun 14, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

424 Peninsula Ave
San Mateo, CA 94401-1653

Phone 650-286-4396

Mailing address

71 Anza Ct
Fairfield, CA 94533-7411

Phone 707-384-7837

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