Most Relevant Information
Provider Data
NPI Number: | 1003571886 |
Provider Name: | KATHERINE COLL |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 11/05/2021 |
Last Updated: | 11/05/2021 |
Provider Practice Location
1101 S WINCHESTER BLVD STE F168
SAN JOSE
CA
951283903
Practice Location Phone/Fax
Phone: | 8772646747 |
Fax: |
Provider Mailing Location
295 89TH ST STE 306
DALY CITY
CA
940151656
Provider Mailing Phone/Fax
Phone: | |
Fax: |