Most Relevant Information
Provider Data
| NPI Number: | 1003499419 |
| Provider Name: | PAOLO SERAFIN TAN ANONAS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/03/2021 |
| Last Updated: | 12/02/2021 |
Provider Practice Location
354 CERNON ST
VACAVILLE
CA
956884502
Practice Location Phone/Fax
| Phone: | 7076850899 |
| Fax: |
Provider Mailing Location
354 CERNON ST
VACAVILLE
CA
956884502
Provider Mailing Phone/Fax
| Phone: | 7076850899 |
| Fax: |