Most Relevant Information
Provider Data
| NPI Number: | 1003509233 |
| Provider Name: | KRISTEN FUKUDA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/01/2023 |
| Last Updated: | 06/01/2023 |
Provider Practice Location
3419 VALLE VERDE DR
NAPA
CA
945582414
Practice Location Phone/Fax
| Phone: | 7072998250 |
| Fax: | 7076358215 |
Provider Mailing Location
3419 VALLE VERDE DR
NAPA
CA
945582414
Provider Mailing Phone/Fax
| Phone: | 7072998250 |
| Fax: | 7076358215 |