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Milan Enriquez

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

NPI number1902379639
StatusActive
Last updated in NPPESMay 20, 2021

Details

NPI
1902379639
Entity type
Individual (NPI-1)
Name
Milan Enriquez
Sex
Female
Sole proprietor
No
Enumeration date
Jan 4, 2019
Certification date
May 20, 2021
Last updated
May 20, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician18-72278CAYes

Practice location

9355 E Stockton Blvd Ste 100
Elk Grove, CA 95624-9476

Phone 916-683-1109 · Fax 916-683-1140

Mailing address

Po Box 5157
Modesto, CA 95352-5157

Phone 209-572-2589 · Fax 209-572-2589

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