Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003415621 |
---|---|
Provider Name | Kaelin Sierra Fletcher |
First Address | San Francisco, CA 94139-9318 |
Second Address | Stockton, CA 95219-5435 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2020 |
Last Update Date | 24/10/2020 |