Nelson Thao
Behavior Technician in San Mateo, CA. Individual provider (NPI-1).
NPI number1871372425
StatusActive
Last updated in NPPESSep 25, 2023
Details
- NPI
- 1871372425
- Entity type
- Individual (NPI-1)
- Name
- Nelson Thao
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2023
- Certification date
- Sep 23, 2023
- Last updated
- Sep 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
424 Peninsula AveSan Mateo, CA 94401-1653
Phone 650-286-4396
Mailing address
6205 Hermosa StSacramento, CA 95822-3735
Phone 916-956-4638
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