Most Relevant Information
Provider Data
| NPI Number: | 1003464199 |
| Provider Name: | GIAN TAMISIN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/31/2019 |
| Last Updated: | 08/31/2019 |
Provider Practice Location
5820 STONERIDGE MALL RD STE 205
PLEASANTON
CA
945883347
Practice Location Phone/Fax
| Phone: | 8774182978 |
| Fax: |
Provider Mailing Location
5820 STONERIDGE MALL RD STE 205
PLEASANTON
CA
945883347
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |