Makaya Aissa Fofana
NPI #1861272726 in Seaside, California
Provider Information
- NPI Number
- 1861272726
- Entity Type
- Individual
- Name
- Makaya Aissa Fofana
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Sep 28, 2023
- Last Updated
- Oct 3, 2023
Practice Location
- Address
- 1286 LA JOLLA AVE APT D
- City
- Seaside
- State
- California
- ZIP Code
- 93955-3154
- Phone
- (831) 210-9529
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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