Judy Corinne Simon BCBA

NPI 1093154049 - Behavioral Analyst - 103K00000X

NPI Details
NPI 1093154049
Gender Female
Enumeration Date 06/21/2013
Last Updated 06/21/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
1014 WALNUT ST APT C
ALAMEDA CA, 94501-4978, US
Phone (707) 272-1457
Fax
Business Location
9878 EL DORADO WAY
KELSEYVILLE CA, 95451-9510, US
Phone (707) 272-1457
Fax
Toxanomy
Taxonomy Code 103K00000X
License State California
License Number 1-01-0719
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According to our database, Ms. Judy Corinne Simon BCBA NPI is 1093154049, taxonomy code is 103K00000X and license number is 1-01-0719, license state is located at California. Judy Corinne Simon BCBA physically located at 1014 Walnut St Apt C, Alameda CA, 94501-4978. NPI Number Judy Corinne Simon BCBA has the Individual type.

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1093154049 NPI number is provided on an as is basis without warranty of any kind. 1093154049 is maintained by the National Plan & Provider Enumeration System. The contents of Judy Corinne Simon BCBA are for informational purposes only.