Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 106E00000X | Assistant Behavior Analyst | F5428439 | CA |
Y | 106S00000X | Behavior Technician | F5428439 | CA |
NPI | 1003378613 |
---|---|
Provider Name | Yesenia A Cortez-Sanchez |
First Address | Modesto, CA 95352-5157 |
Second Address | Elk Grove, CA 95758-7954 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2019 |
Last Update Date | 02/04/2019 |