Most Relevant Information
Provider Data
| NPI Number: | 1003397597 |
| Provider Name: | JOSHUA THOMAS DUITSMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | D7960040 |
Most Important Dates
| Enumeration Date: | 08/23/2018 |
| Last Updated: | 08/23/2018 |
Provider Practice Location
6030 W OAKS BLVD STE 170
ROCKLIN
CA
957654437
Practice Location Phone/Fax
| Phone: | 9168243220 |
| Fax: |
Provider Mailing Location
6030 W OAKS BLVD STE 170
ROCKLIN
CA
957654437
Provider Mailing Phone/Fax
| Phone: | 9168243220 |
| Fax: |