Therese Ticzon
NPI #1003317702 in Santa Rosa, California
Provider Information
- NPI Number
- 1003317702
- Entity Type
- Individual
- Name
- Therese Ticzon
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Feb 27, 2018
- Last Updated
- Feb 27, 2018
Practice Location
- Address
- 1335 N DUTTON AVE
- City
- Santa Rosa
- State
- California
- ZIP Code
- 95401-4609
- Phone
- (855) 223-7123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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