Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003316746 |
---|---|
Provider Name | Sarah Beggs |
First Address | Walnut Creek, CA 94596-5071 |
Second Address | Walnut Creek, CA 94596-5071 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2018 |
Last Update Date | 20/02/2018 |