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Christopher David Turcios Wildelberg

Behavior Technician in Marina Del Rey, CA. Individual provider (NPI-1).

NPI number1730656265
StatusActive
Last updated in NPPESNov 2, 2018

Details

NPI
1730656265
Entity type
Individual (NPI-1)
Name
Christopher David Turcios Wildelberg
Sex
Male
Sole proprietor
No
Enumeration date
Nov 2, 2018
Last updated
Nov 2, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

13428 Maxella Ave Ste 913
Marina Del Rey, CA 90292-5620

Phone 424-272-5238

Mailing address

13428 Maxella Ave Ste 913
Marina Del Rey, CA 90292-5620

Phone 424-272-5238

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