Most Relevant Information
Provider Data
| NPI Number: | 1003542176 |
| Provider Name: | KARISSA VIERNES-SISON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/29/2022 |
| Last Updated: | 07/29/2022 |
Provider Practice Location
7215 ALEXANDRIA PL
STOCKTON
CA
952071505
Practice Location Phone/Fax
| Phone: | 2099816882 |
| Fax: |
Provider Mailing Location
2291 W MARCH LN STE C103
STOCKTON
CA
952076652
Provider Mailing Phone/Fax
| Phone: | 9167293098 |
| Fax: |