(800) 868-1923

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: