NPI 1003310764

Bethel Gebreyesus

Practitioner Behavior Technician American Canyon, CA

Practice location

Address: 120 Theresa Ave, American Canyon, CA 94503-9654
Phone: (707) 561-0134

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-18-50539 (CA)

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Registry record

NPI: 1003310764
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Mar 2018
Record last updated: 19 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.