Degene Deshon Dean
Behavior Technician in Stockton, CA. Individual provider (NPI-1).
NPI number1982252854
StatusActive
Last updated in NPPESSep 3, 2019
Details
- NPI
- 1982252854
- Entity type
- Individual (NPI-1)
- Name
- Degene Deshon Dean
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2019
- Last updated
- Sep 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3620 W Hammer LnStockton, CA 95219-5435
Phone 209-521-4791
Mailing address
327 Santa Barbara CtStockton, CA 95210-1243
Phone 209-495-2614
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