Tessa Irwin
Behavior Technician in Elk Grove, CA. Individual provider (NPI-1).
NPI number1689340630
StatusActive
Last updated in NPPESAug 19, 2021
Details
- NPI
- 1689340630
- Entity type
- Individual (NPI-1)
- Name
- Tessa Irwin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2021
- Certification date
- Aug 19, 2021
- Last updated
- Aug 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
9370 W Stockton BlvdElk Grove, CA 95758-8013
Phone 209-342-7353
Mailing address
9370 W Stockton BlvdElk Grove, CA 95758-8013
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