Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1033727896 |
---|---|
Provider Name | Rachel Puleo-Chankin |
First Address | Redding, CA 96001-4246 |
Second Address | Redding, CA 96001-4246 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2020 |
Last Update Date | 17/07/2020 |