Patrick Angelo Tique Miraflor
Behavior Technician in Rancho Cordova, CA. Individual provider (NPI-1).
NPI number1710696596
StatusActive
Last updated in NPPESNov 21, 2022
Details
- NPI
- 1710696596
- Entity type
- Individual (NPI-1)
- Name
- Patrick Angelo Tique Miraflor
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2022
- Certification date
- Nov 20, 2022
- Last updated
- Nov 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
10670 White Rock Rd Ste 150Rancho Cordova, CA 95670-6156
Phone 925-285-6203
Mailing address
21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807
Phone 818-345-2345
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All 175 Behavior Technician providers in Rancho Cordova · All 1,152 providers in Rancho Cordova
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