Most Relevant Information
Provider Data
| NPI Number: | 1003396656 |
| Provider Name: | NATHANIAL CORNELL |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/14/2018 |
| Last Updated: | 08/15/2018 |
Provider Practice Location
1106 WINDFIELD WAY STE 1
EL DORADO HILLS
CA
95762
Practice Location Phone/Fax
| Phone: | 9163575837 |
| Fax: |
Provider Mailing Location
1106 WINDFIELD WAY STE 1
EL DORADO HILLS
CA
957629360
Provider Mailing Phone/Fax
| Phone: | 9163575837 |
| Fax: |