Kensleigh Michelle Buenrostro
Behavior Technician in West Sacramento, CA. Individual provider (NPI-1).
NPI number1992416614
StatusActive
Last updated in NPPESDec 13, 2022
Details
- NPI
- 1992416614
- Entity type
- Individual (NPI-1)
- Name
- Kensleigh Michelle Buenrostro
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2022
- Certification date
- Dec 13, 2022
- Last updated
- Dec 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
548 Douglas St Unit 304West Sacramento, CA 95605-2457
Phone 916-804-7328
Mailing address
548 Douglas St Unit 304West Sacramento, CA 95605-2457
Phone 916-804-7328
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