Most Relevant Information
Provider Data
| NPI Number: | 1003420928 |
| Provider Name: | DASHA SPEARS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/08/2020 |
| Last Updated: | 09/08/2020 |
Provider Practice Location
505 PIONEER DR APT 60
LODI
CA
952407635
Practice Location Phone/Fax
| Phone: | 2097627113 |
| Fax: |
Provider Mailing Location
2291 W MARCH LN STE C101
STOCKTON
CA
952076669
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |