Suzanna Kolodrivskiy
Behavior Technician in Stockton, CA. Individual provider (NPI-1).
NPI number1659908036
StatusActive
Last updated in NPPESMar 25, 2020
Details
- NPI
- 1659908036
- Entity type
- Individual (NPI-1)
- Name
- Ms. Suzanna Kolodrivskiy
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2020
- Certification date
- Mar 25, 2020
- Last updated
- Mar 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
1811 Grand Canal Blvd Ste 2Stockton, CA 95207-8107
Phone 877-418-2978 · Fax 866-500-2186
Mailing address
1811 Grand Canal Blvd Ste 2Stockton, CA 95207-8107
Phone 877-418-2978 · Fax 866-500-2186
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All 3,125 Behavior Technician providers in Stockton · All 11,041 providers in Stockton
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