Theodore Becker
Licensed Psychiatric Technician in Orange, CA. Individual provider (NPI-1).
NPI number1770733669
StatusActive
Last updated in NPPESMar 16, 2020
Details
- NPI
- 1770733669
- Entity type
- Individual (NPI-1)
- Name
- Theodore Becker
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 26, 2008
- Certification date
- Mar 16, 2020
- Last updated
- Mar 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 167G00000X | Licensed Psychiatric Technician | PT24713 | CA | Yes |
Practice location
4000 W Metropolitan DrOrange, CA 92868-3504
Phone 714-517-6353
Mailing address
4000 W Metropolitan DrOrange, CA 92868-3504
Phone 714-517-6353
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