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Madison Trujillo

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

NPI number1982207569
StatusActive
Last updated in NPPESNov 17, 2020

Details

NPI
1982207569
Entity type
Individual (NPI-1)
Name
Madison Trujillo
Sex
Female
Sole proprietor
No
Enumeration date
Nov 17, 2020
Certification date
Nov 17, 2020
Last updated
Nov 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

30 W Pacheco Blvd
Los Banos, CA 93635-4041

Phone 877-828-8476

Mailing address

30 W Pacheco Blvd
Los Banos, CA 93635-4041

Phone 877-828-8476

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