Dicarlo Venegas

NPI #1306379557 in Moore, Oklahoma

Provider Information

NPI Number: 1306379557
Entity Type: Individual
Name: Dicarlo Venegas
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 5, 2017
Last Updated: Apr 5, 2017

Practice Location

Address: 716 WOOD HOLLOW LN
City: Moore
State: Oklahoma
ZIP Code: 73160
Phone: (562) 331-5206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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