Brissamar C Evans Gastelum

NPI #1851164321 in Lompoc, California

Provider Information

NPI Number: 1851164321
Entity Type: Individual
Name: Brissamar C Evans Gastelum
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 6, 2023
Last Updated: Nov 6, 2023

Practice Location

Address: 204 S U ST
City: Lompoc
State: California
ZIP Code: 93436-6428
Phone: (805) 621-1565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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