Marie Cannon

NPI #1912668278 in Alameda, California

Provider Information

NPI Number: 1912668278
Entity Type: Individual
Name: Marie Cannon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 7, 2022
Last Updated: Jan 10, 2022

Practice Location

Address: 1025 ATLANTIC AVE
City: Alameda
State: California
ZIP Code: 94501-1189
Phone: (510) 268-8120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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