NPI 1245870021
Emalee D Costa
Practice location
- Address
- 4196 Douglas Blvd, Granite Bay, CA 95746-5904
- Phone
- (916) 489-1376
- Mailing address
- PO Box 5157, Modesto, CA 95352-5157
Registered specialties
Assistant Behavior Analyst
Primary
Registry record
- NPI
- 1245870021
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Jan 2020
- Record last updated
- 9 Jan 2020
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.