Kassidy Brooke Gendreau

NPI #1023794146 in Irvine, California

Provider Information

NPI Number: 1023794146
Entity Type: Individual
Name: Kassidy Brooke Gendreau
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jun 23, 2023
Last Updated: Jun 23, 2023

Practice Location

Address: 17752 SKY PARK CIR STE 140
City: Irvine
State: California
ZIP Code: 92614-4469
Phone: (949) 474-5577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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