Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-13-14412 |
NPI | 1013346808 |
---|---|
Provider Name | Cynthia Bertolotti |
First Address | Pleasanton, CA 94588-3364 |
Second Address | Pleasanton, CA 94588 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2013 |
Last Update Date | 12/02/2021 |