Thea Geresola

NPI #1265951131 in Tracy, California

Provider Information

NPI Number: 1265951131
Entity Type: Individual
Name: Thea Geresola
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 12, 2017
Last Updated: Sep 12, 2017

Practice Location

Address: 305 CECELIO WAY
City: Tracy
State: California
ZIP Code: 95376-4666
Phone: (925) 724-6082

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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