NPI 1003494907

Bryan Heredia

Practitioner Behavior Technician Santa Maria, CA

Practice location

Address: 2342 Professional Pkwy STE 300, Santa Maria, CA 93455-6819
Phone: (805) 979-9941

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003494907
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Mar 2021
Record last updated: 31 Mar 2021

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.