Most Relevant Information
Provider Data
| NPI Number: | 1003533381 |
| Provider Name: | SHAWN TSZTOO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/26/2022 |
| Last Updated: | 10/26/2022 |
Provider Practice Location
9355 E STOCKTON BLVD STE 100
ELK GROVE
CA
956249476
Practice Location Phone/Fax
| Phone: | 9166936351 |
| Fax: |
Provider Mailing Location
PO BOX 5157
MODESTO
CA
953525157
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |