Kirsten Mae Gannon

NPI #1699638197 in Manteca, California

Provider Information

NPI Number: 1699638197
Entity Type: Individual
Name: Kirsten Mae Gannon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 3, 2025
Last Updated: Dec 3, 2025

Practice Location

Address: 115 N WALNUT AVE
City: Manteca
State: California
ZIP Code: 95337-4431
Phone: (209) 610-3736

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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