Corwin Isaiah Skelton I

NPI #1235697756 in Marina, California

Provider Information

NPI Number: 1235697756
Entity Type: Individual
Name: Corwin Isaiah Skelton I
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Mar 4, 2019
Last Updated: Mar 4, 2019

Practice Location

Address: 3350 DEL MONTE BLVD APT H9
City: Marina
State: California
ZIP Code: 93933-2335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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