Manuel Puebla
NPI #1992468268 in Fairfield, California
Provider Information
- NPI Number
- 1992468268
- Entity Type
- Individual
- Name
- Manuel Puebla
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Oct 14, 2021
- Last Updated
- Oct 14, 2021
Practice Location
- Address
- 801 JEFFERSON ST STE 4&35&6
- City
- Fairfield
- State
- California
- ZIP Code
- 94533-5557
- Phone
- (855) 223-7123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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