Andria Jo Embry
NPI #1043824022 in South Lake Tahoe, California
Provider Information
- NPI Number
- 1043824022
- Entity Type
- Individual
- Name
- Andria Jo Embry
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Sep 7, 2020
- Last Updated
- Sep 7, 2020
Practice Location
- Address
- 2489 LAKE TAHOE BLVD STE 23
- City
- South Lake Tahoe
- State
- California
- ZIP Code
- 96150-7739
- Phone
- (530) 578-3839
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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