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Isiah Sisneros Edward Sisneros

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

NPI number1982108437
StatusActive
Last updated in NPPESMar 20, 2018

Details

NPI
1982108437
Entity type
Individual (NPI-1)
Name
Isiah Sisneros Edward Sisneros
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 20, 2018
Last updated
Mar 20, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

7339 N 1st St Ste 105&110
Fresno, CA 93720-2954

Phone 916-729-3006 · Fax 916-780-0119

Mailing address

155 S Argyle Ave Apt 106
Fresno, CA 93727-4405

Phone 916-729-3008 · Fax 916-780-0118

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