Katina Blaine

NPI #1003389826 in Riverbank, California

Provider Information

NPI Number: 1003389826
Entity Type: Individual
Name: Katina Blaine
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 3, 2019
Last Updated: Feb 20, 2019

Practice Location

Address: 5501 ANTIQUE ROSE WAY
City: Riverbank
State: California
ZIP Code: 95367
Phone: (209) 521-4791

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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