Most Relevant Information
Provider Data
| NPI Number: | 1003545443 |
| Provider Name: | JOSHUA DATUIN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/09/2022 |
| Last Updated: | 06/09/2022 |
Provider Practice Location
4200 ROCKLIN RD STE 11B
ROCKLIN
CA
956772860
Practice Location Phone/Fax
| Phone: | 9164729854 |
| Fax: | 9164150120 |
Provider Mailing Location
PO BOX 631277
CINCINNATI
OH
452631277
Provider Mailing Phone/Fax
| Phone: | 9164729854 |
| Fax: | 9164150120 |