Julie Diane Bazan

NPI #1023724077 in Riverbank, California

Provider Information

NPI Number
1023724077
Entity Type
Individual
Name
Julie Diane Bazan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Jan 24, 2023
Last Updated
Jan 24, 2023

Practice Location

Address
5501 ANTIQUE ROSE WAY
ZIP Code
95367-9505
Phone
(866) 523-4268

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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