Most Relevant Information
Provider Data
| NPI Number: | 1003393505 |
| Provider Name: | DAPHNEY FULGENCIO |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/26/2018 |
| Last Updated: | 07/26/2019 |
Provider Practice Location
1001 SNEATH LN
SAN BRUNO
CA
94066
Practice Location Phone/Fax
| Phone: | 6502439849 |
| Fax: |
Provider Mailing Location
197 WESTMOOR AVE
DALY CITY
CA
940153845
Provider Mailing Phone/Fax
| Phone: | 6508223662 |
| Fax: |