Treana Willis
Behavior Technician in Tracy, CA. Individual provider (NPI-1).
NPI number1710691597
StatusActive
Last updated in NPPESJan 6, 2023
Details
- NPI
- 1710691597
- Entity type
- Individual (NPI-1)
- Name
- Treana Willis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 6, 2023
- Certification date
- Jan 6, 2023
- Last updated
- Jan 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2850 N Tracy Blvd Ste 202Tracy, CA 95376-7767
Phone 855-223-7123 · Fax 619-374-7134
Mailing address
16782 Von Karman Ave Ste 11Irvine, CA 92606-2417
Phone 855-223-7123 · Fax 619-374-7134
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