Most Relevant Information
Provider Data
| NPI Number: | 1003596610 |
| Provider Name: | TERESA ELIDETH ROCHA RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/19/2023 |
| Last Updated: | 07/19/2023 |
Provider Practice Location
1836 CANAL ST
SAN DIEGO
CA
921541124
Practice Location Phone/Fax
| Phone: | 6197394569 |
| Fax: |
Provider Mailing Location
2423 HOOVER AVE
NATIONAL CITY
CA
919506619
Provider Mailing Phone/Fax
| Phone: | 6197394569 |
| Fax: |