Freddie L Daniels III
Behavior Technician in Antioch, CA. Individual provider (NPI-1).
NPI number1942017447
StatusActive
Last updated in NPPESDec 17, 2024
Details
- NPI
- 1942017447
- Entity type
- Individual (NPI-1)
- Name
- Freddie L Daniels III
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 17, 2024
- Certification date
- Dec 17, 2024
- Last updated
- Dec 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4849 Lone Tree Way Ste CAntioch, CA 94531-8644
Phone 925-391-8055
Mailing address
4849 Lone Tree Way Ste CAntioch, CA 94531-8644
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