Most Relevant Information
Provider Data
NPI Number: | 1003448226 |
Provider Name: | KILEY MARISSA PERKINS |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 02/05/2020 |
Last Updated: | 02/05/2020 |
Provider Practice Location
800 HOWE AVE STE 140
SACRAMENTO
CA
958253965
Practice Location Phone/Fax
Phone: | 9163501737 |
Fax: |
Provider Mailing Location
16782 VON KARMAN AVE STE 11
IRVINE
CA
926062417
Provider Mailing Phone/Fax
Phone: | 9498332237 |
Fax: |