Nikita Marie Tamayo

NPI #1053964882 in Rohnert Park, California

Provider Information

NPI Number: 1053964882
Entity Type: Individual
Name: Nikita Marie Tamayo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 21, 2019
Last Updated: Jul 23, 2019

Practice Location

Address: 2 PADRE PKWY STE 101
City: Rohnert Park
State: California
ZIP Code: 94928-2114
Phone: (707) 553-1784

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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