Most Relevant Information
Provider Data
| NPI Number: | 1003589888 |
| Provider Name: | YER VANG BEHAVIOR THERAPIST |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/28/2021 |
| Last Updated: | 07/28/2021 |
Provider Practice Location
591 WATT AVE STE 120
SACRAMENTO
CA
958645027
Practice Location Phone/Fax
| Phone: | 9164482050 |
| Fax: | 9164486050 |
Provider Mailing Location
591 WATT AVE STE 120
SACRAMENTO
CA
958645027
Provider Mailing Phone/Fax
| Phone: | 9164482050 |
| Fax: | 9164486050 |