Kaymein Mordecai Mandoriao Tapia

NPI #1013577352 in Santa Clara, California

Provider Information

NPI Number: 1013577352
Entity Type: Individual
Name: Kaymein Mordecai Mandoriao Tapia
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 18, 2019
Last Updated: Jun 18, 2019

Practice Location

Address: 1171 HOMESTEAD RD STE 250
City: Santa Clara
State: California
ZIP Code: 95050-5485
Phone: (408) 203-2025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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