Maribel Alexandra Agredano
Behavior Technician in Mountain View, CA. Individual provider (NPI-1).
NPI number1720690381
StatusActive
Last updated in NPPESAug 17, 2020
Details
- NPI
- 1720690381
- Entity type
- Individual (NPI-1)
- Name
- Maribel Alexandra Agredano
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2020
- Certification date
- Aug 17, 2020
- Last updated
- Aug 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
36 Oak LnMountain View, CA 94040-2629
Phone 650-938-3600
Mailing address
36 Oak LnMountain View, CA 94040-2629
Phone 650-938-3600
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