Isabella Ann Repancool
Behavior Technician in Atwater, CA. Individual provider (NPI-1).
NPI number1831776996
StatusActive
Last updated in NPPESMar 25, 2021
Details
- NPI
- 1831776996
- Entity type
- Individual (NPI-1)
- Name
- Isabella Ann Repancool
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2021
- Certification date
- Mar 25, 2021
- Last updated
- Mar 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
584 E Bellevue RdAtwater, CA 95301-2300
Phone 559-747-2177
Mailing address
584 E Bellevue RdAtwater, CA 95301-2300
Phone 559-747-2177
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