NPI 1972969202 · live from the CMS NPI Registry
Jhoana Ronn Suelto Aclan
Behavior Analyst in San Mateo, CA. National Provider Identifier 1972969202, active.
NPI record
| NPI | 1972969202 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 424 Peninsula Ave, San Mateo, CA 94401 |
| Practice phone | 650-286-4396 |
| Mailing address | 1009 Murrieta Blvd Apt 65, Livermore, CA 94550 |
| Enumerated | December 31, 2015 |
| Last updated | December 31, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 220164 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.