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James Daryl Shreckengost

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

NPI number1962265074
StatusActive
Last updated in NPPESFeb 1, 2024

Details

NPI
1962265074
Entity type
Individual (NPI-1)
Name
James Daryl Shreckengost
Sex
Male
Sole proprietor
No
Enumeration date
Feb 1, 2024
Certification date
Feb 1, 2024
Last updated
Feb 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

20900 Corsair Blvd Bldg A
Hayward, CA 94545-1002

Phone 855-223-7123

Mailing address

Po Box 33568
San Diego, CA 92163-3568

Phone 855-223-7123 · Fax 619-374-7134

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