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Sandra Rose Fernandez Sipin

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

NPI number1932861069
StatusActive
Last updated in NPPESOct 6, 2021

Details

NPI
1932861069
Entity type
Individual (NPI-1)
Name
Sandra Rose Fernandez Sipin
Sex
Female
Sole proprietor
No
Enumeration date
Oct 6, 2021
Certification date
Oct 6, 2021
Last updated
Oct 6, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

424 Peninsula Ave
San Mateo, CA 94401-1653

Phone 650-286-4396

Mailing address

40 Firethorn St
Milpitas, CA 95035-2513

Phone 408-431-9962

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