Ismael De Haro
Behavior Technician in Long Beach, CA. Individual provider (NPI-1).
NPI number1659005809
StatusActive
Last updated in NPPESJul 13, 2022
Details
- NPI
- 1659005809
- Entity type
- Individual (NPI-1)
- Name
- Ismael De Haro
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 13, 2022
- Certification date
- Jul 13, 2022
- Last updated
- Jul 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2601 Marber AveLong Beach, CA 90815-1137
Phone 562-377-1027
Mailing address
2601 Marber AveLong Beach, CA 90815-1137
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