Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-17-7724 | CA |
NPI | 1033642467 |
---|---|
Provider Name | Chelsea Gadzia |
First Address | Sacramento, CA 95826-9716 |
Second Address | Stockton, CA 95210-5320 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2017 |
Last Update Date | 04/04/2017 |