Summer Reddersen
Behavior Technician in Pleasanton, CA. Individual provider (NPI-1).
NPI number1669080206
StatusActive
Last updated in NPPESJul 20, 2020
Details
- NPI
- 1669080206
- Entity type
- Individual (NPI-1)
- Name
- Summer Reddersen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2020
- Certification date
- Jul 20, 2020
- Last updated
- Jul 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
6601 Owens Dr Ste 270Pleasanton, CA 94588-3364
Phone 866-727-8274
Mailing address
6601 Owens Dr Ste 270Pleasanton, CA 94588-3364
Phone 866-727-8274
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