Raynetta Van

NPI #1306490818 in Lafayette, California

Provider Information

NPI Number: 1306490818
Entity Type: Individual
Name: Raynetta Van
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 1, 2019
Last Updated: Aug 1, 2019

Practice Location

Address: 3650 MT DIABLO BLVD STE 107
City: Lafayette
State: California
ZIP Code: 94549-3780
Phone: (510) 665-9700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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