Most Relevant Information
Provider Data
| NPI Number: | 1003310814 |
| Provider Name: | KENZIE BISBEE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/19/2018 |
| Last Updated: | 03/19/2018 |
Provider Practice Location
4143 GLOSTER WAY
SACRAMENTO
CA
958342041
Practice Location Phone/Fax
| Phone: | 9163376445 |
| Fax: |
Provider Mailing Location
4143 GLOSTER WAY
SACRAMENTO
CA
958342041
Provider Mailing Phone/Fax
| Phone: | 9163376445 |
| Fax: |