MRS. Shasta Maisch

NPI #1578336525 in Antelope, California

Provider Information

NPI Number: 1578336525
Entity Type: Individual
Name: MRS. Shasta Maisch
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 1, 2023
Last Updated: Nov 1, 2023

Practice Location

Address: 5744 HAWKEYE LN
City: Antelope
State: California
ZIP Code: 95843-3956
Phone: (918) 289-3676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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