Most Relevant Information
Provider Data
| NPI Number: | 1003683616 |
| Provider Name: | YADIRA RICO MIRANDA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/05/2023 |
| Last Updated: | 12/05/2023 |
Provider Practice Location
4540 HARLIN DR
SACRAMENTO
CA
958269716
Practice Location Phone/Fax
| Phone: | 9163647800 |
| Fax: |
Provider Mailing Location
4540 HARLIN DR
SACRAMENTO
CA
958269716
Provider Mailing Phone/Fax
| Phone: | 9163647800 |
| Fax: |