Donovan G Gardner
Assistant Behavior Analyst
1115 14th St
Modesto
, California 95354-1003
Donovan G Gardner
Assistant Behavior Analyst
1115 14th St
Modesto
, California 95354-1003
(209) 353-3353
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About
Features
Specialties
- Assistant Behavior Analyst
Languages spoken
- English
Location
First Address
- Donovan G Gardner
- Po Box 5157
- Modesto, CA
- Zip : 95352-5157
- Fax : (209) 353-3353
- Phone : (209) 572-2589
Second Address
- Donovan G Gardner
- 1115 14th St
- Modesto, CA
- Zip : 95354-1003
- Fax : (209) 572-1461
- Phone : (209) 572-2589
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | CA |
National Provider Identifier
| NPI | 1164032314 |
|---|---|
| Provider Name | Donovan G Gardner |
| First Address | Modesto, CA 95352-5157 |
| Second Address | Modesto, CA 95354-1003 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/08/2020 |
| Last Update Date | 03/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.