Most Relevant Information
Provider Data
| NPI Number: | 1003406943 |
| Provider Name: | MARIA D BLANCO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/25/2021 |
| Last Updated: | 01/25/2021 |
Provider Practice Location
525 LANCASTER ST
OAKLAND
CA
946012828
Practice Location Phone/Fax
| Phone: | 5105569600 |
| Fax: |
Provider Mailing Location
525 LANCASTER ST
OAKLAND
CA
946012828
Provider Mailing Phone/Fax
| Phone: | 5105569600 |
| Fax: |