Nissa Intarachote Van Etten
NPI #1093087181 in Walnut Creek, California
Provider Information
- NPI Number
- 1093087181
- Entity Type
- Individual
- Name
- Nissa Intarachote Van Etten
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Feb 3, 2012
- Last Updated
- Feb 3, 2012
Practice Location
- Address
- 311 LENNON LN
- Address 2
- SUITE A
- City
- Walnut Creek
- State
- California
- ZIP Code
- 94598-2418
- Phone
- (925) 210-9370
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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