Demico Tyreek Brooks
Behavior Technician in Sacramento, CA. Individual provider (NPI-1).
NPI number1669956702
StatusActive
Last updated in NPPESSep 24, 2018
Details
- NPI
- 1669956702
- Entity type
- Individual (NPI-1)
- Name
- Demico Tyreek Brooks
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2018
- Last updated
- Sep 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-18-56670 | CA | Yes |
Practice location
4540 Harlin DrSacramento, CA 95826-9716
Phone 916-364-7800 · Fax 916-364-7888
Mailing address
4540 Harlin DrSacramento, CA 95826-9716
Phone 916-364-7800 · Fax 916-364-7888
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