Gregory Noah Theodore
NPI #1003401555 in San Jose, California
Provider Information
- NPI Number
- 1003401555
- Entity Type
- Individual
- Name
- Gregory Noah Theodore
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Mar 6, 2021
- Last Updated
- Mar 6, 2021
Practice Location
- Address
- 1922 THE ALAMEDA STE 425
- City
- San Jose
- State
- California
- ZIP Code
- 95126-1453
- Phone
- (866) 523-4268
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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