Most Relevant Information
Provider Data
NPI Number: | 1003562265 |
Provider Name: | ISABELLA MACIAS |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 02/25/2022 |
Last Updated: | 02/25/2022 |
Provider Practice Location
9370 W STOCKTON BLVD
ELK GROVE
CA
957588013
Practice Location Phone/Fax
Phone: | 2093427353 |
Fax: |
Provider Mailing Location
9370 W STOCKTON BLVD
ELK GROVE
CA
957588013
Provider Mailing Phone/Fax
Phone: | 2093427353 |
Fax: |