Most Relevant Information
Provider Data
NPI Number: | 1003376419 |
Provider Name: | CALEB SHELDRUP |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 03/21/2019 |
Last Updated: | 08/30/2024 |
Provider Practice Location
11741 TELEGRAPH ROAD
SANTA FE SPRINGS
CA
906703687
Practice Location Phone/Fax
Phone: | 6263409633 |
Fax: |
Provider Mailing Location
11721 TELEGRAPH RD STE K
SANTA FE SPRINGS
CA
906706832
Provider Mailing Phone/Fax
Phone: | |
Fax: |