Kishauna Makayla Mavis
NPI #1184414088 in Salida, California
Provider Information
- NPI Number
- 1184414088
- Entity Type
- Individual
- Name
- Kishauna Makayla Mavis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- May 12, 2025
- Last Updated
- May 12, 2025
Practice Location
- Address
- 5716 PIRRONE RD
- City
- Salida
- State
- California
- ZIP Code
- 95368-9313
- Phone
- (209) 557-7466
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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