Tia Peacock
NPI #1306304787 in San Bruno, California
Provider Information
- NPI Number
- 1306304787
- Entity Type
- Individual
- Name
- Tia Peacock
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Mar 5, 2019
- Last Updated
- Mar 5, 2019
Practice Location
- Address
- 1001 SNEATH LN STE 200
- City
- San Bruno
- State
- California
- ZIP Code
- 94066-2349
- Phone
- (510) 328-7176
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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