Andrei Deloso

NPI #1265048094 in Granite Bay, California

Provider Information

NPI Number: 1265048094
Entity Type: Individual
Name: Andrei Deloso
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 17, 2020
Last Updated: Oct 22, 2020

Practice Location

Address: 4196 DOUGLAS BLVD
City: Granite Bay
State: California
ZIP Code: 95746-5904
Phone: (916) 489-1376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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