Most Relevant Information
Provider Data
| NPI Number: | 1003696022 |
| Provider Name: | BLANCA SEGOVIA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | 00019129 |
Most Important Dates
| Enumeration Date: | 10/05/2023 |
| Last Updated: | 10/05/2023 |
Provider Practice Location
5140 N FRUIT AVE
FRESNO
CA
937113022
Practice Location Phone/Fax
| Phone: | 8772422884 |
| Fax: | 5592252083 |
Provider Mailing Location
5140 N FRUIT AVE
FRESNO
CA
937113022
Provider Mailing Phone/Fax
| Phone: | 8772422884 |
| Fax: | 5592252083 |