Mitra Wesley

NPI #1003454232 in San Jose, California

Provider Information

NPI Number: 1003454232
Entity Type: Individual
Name: Mitra Wesley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 18, 2019
Last Updated: Dec 18, 2019

Practice Location

Address: 871 COLEMAN AVE # 209
City: San Jose
State: California
ZIP Code: 95110-1831
Phone: (877) 264-6747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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