Elise Vidal

NPI #1154201762 in El Sobrante, California

Provider Information

NPI Number: 1154201762
Entity Type: Individual
Name: Elise Vidal
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 4, 2025
Last Updated: Sep 4, 2025

Practice Location

Address: 3575 SAN PABLO DAM RD STE 11
City: El Sobrante
State: California
ZIP Code: 94803-7205
Phone: (503) 780-0292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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