Most Relevant Information
Provider Data
| NPI Number: | 1003450719 |
| Provider Name: | MICHAEL D BARRALE BA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/05/2019 |
| Last Updated: | 11/05/2019 |
Provider Practice Location
3425 COFFEE RD STE C2
MODESTO
CA
953551582
Practice Location Phone/Fax
| Phone: | 2095214791 |
| Fax: |
Provider Mailing Location
3425 COFFEE RD STE C2
MODESTO
CA
953551582
Provider Mailing Phone/Fax
| Phone: | 2095214791 |
| Fax: |