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Maya Victoria Ceballos

Behavior Technician in Stockton, CA. Individual provider (NPI-1).

NPI number1871069476
StatusActive
Last updated in NPPESSep 29, 2021

Details

NPI
1871069476
Entity type
Individual (NPI-1)
Name
Maya Victoria Ceballos
Sex
Female
Sole proprietor
No
Enumeration date
Oct 22, 2018
Certification date
Sep 29, 2021
Last updated
Sep 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1811 Grand Canal Blvd Ste 2
Stockton, CA 95207-8107

Phone 877-418-2978 · Fax 866-500-2186

Mailing address

500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817

Phone 877-418-2978 · Fax 866-500-2186

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