Most Relevant Information
Provider Data
| NPI Number: | 1003323627 |
| Provider Name: | KARLA JAMILETH MORAN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | 17-42909 |
Most Important Dates
| Enumeration Date: | 01/04/2018 |
| Last Updated: | 01/04/2018 |
Provider Practice Location
7109 DANNY DR
STOCKTON
CA
952105320
Practice Location Phone/Fax
| Phone: | 2099577777 |
| Fax: |
Provider Mailing Location
7109 DANNY DR
STOCKTON
CA
952105320
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |