NPI 1518774769

Christian Jude Dauphin

Practitioner Assistant Behavior Analyst Petaluma, CA

Practice location

Address: 755 Baywood Dr Fl 2, Petaluma, CA 94954-5510
Phone: (408) 767-9483
Mailing address: 7108 S Kanner Hwy, Stuart, FL 34997-7462

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence Y8309601 (CA)

Other Assistant Behavior Analyst providers in California →

Registry record

NPI: 1518774769
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Dec 2024
Record last updated: 11 Dec 2024

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.