Andesa Gates
Behavior Technician in Elk Grove, CA. Individual provider (NPI-1).
NPI number1982425302
StatusActive
Last updated in NPPESOct 18, 2024
Details
- NPI
- 1982425302
- Entity type
- Individual (NPI-1)
- Name
- Andesa Gates
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 18, 2024
- Certification date
- Oct 18, 2024
- Last updated
- Oct 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
9355 E Stockton BlvdElk Grove, CA 95624-9476
Phone 916-683-1109
Mailing address
9355 E Stockton BlvdElk Grove, CA 95624-9476
Phone 916-683-1109
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