NPI 1073158911

Dejon Burdeaux

Practitioner Assistant Behavior Analyst Granite Bay, CA

Practice location

Address: 4196 Douglas Blvd, Granite Bay, CA 95746-5904
Phone: (916) 489-1376
Fax: (916) 683-1140
Mailing address: PO Box 5157, Modesto, CA 95352-5157

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1073158911
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Nov 2019
Record last updated: 14 Nov 2019

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.