Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003414277 |
---|---|
Provider Name | Ms. Carolina Padilla |
First Address | Folsom, CA 95630-7983 |
Second Address | El Dorado Hills, CA 95762-4092 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2020 |
Last Update Date | 11/10/2020 |