Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 106S00000X | Behavior Technician | ||
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1255813937 |
---|---|
Provider Name | Elizabeth Arredondo |
First Address | Seeley, CA 92273-0444 |
Second Address | El Centro, CA 92243-2302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2018 |
Last Update Date | 02/01/2020 |