Ernesto Basa JR.

NPI #1134633753 in Rancho Cordova, California

Provider Information

NPI Number: 1134633753
Entity Type: Individual
Name: Ernesto Basa JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 17, 2017
Last Updated: Nov 17, 2017

Practice Location

Address: 11740 LOISDALE WAY
City: Rancho Cordova
State: California
ZIP Code: 95742-8028
Phone: (916) 402-5126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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