Christy Sutrisno
Behavior Technician in Pomona, CA. Individual provider (NPI-1).
NPI number1982209235
StatusActive
Last updated in NPPESDec 3, 2020
Details
- NPI
- 1982209235
- Entity type
- Individual (NPI-1)
- Name
- Christy Sutrisno
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 3, 2020
- Certification date
- Dec 3, 2020
- Last updated
- Dec 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
21 Rancho Camino Dr Ste 106108Pomona, CA 91766-7019
Phone 855-223-7123
Mailing address
16782 Von Karman Ave Ste 11Irvine, CA 92606-2417
Phone 949-833-2237
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All 1,369 Behavior Technician providers in Pomona · All 6,044 providers in Pomona
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