Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 3888 | CA |
NPI | 1033672282 |
---|---|
Provider Name | Arlo Ryan Braun |
First Address | Hanford, CA 93230-4029 |
Second Address | Hanford, CA 93230-4029 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2019 |
Last Update Date | 12/04/2019 |