Daetra Ponnell
Daetra Ponnell is a Behavior Technician in Antioch, California. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
4849 Lone Tree Way Ste CAntioch, CA 94531-8644
Phone: (303) 989-8169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1750844031 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 12, 2019 |
| Last updated in NPPES | April 12, 2019 |
| Mailing address | 4849 Lone Tree Way, Suite C, Antioch, CA 94531-8644 |
Other providers in Antioch
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Jaquille Ravonne Pierce
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Courtney Pierson
4849 Lone Tree Way Ste C, Antioch, CA 94531-8644 · (303) 989-8169
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Caitlin Pineda
4849 Lone Tree Way Ste C, Antioch, CA 94531-8644 · (303) 989-8169
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Tiera Marshae Pinkston
4849 Lone Tree Way Ste C, Antioch, CA 94531-8644 · (925) 462-2281
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Amber Porras
4849 Lone Tree Way Ste C, Antioch, CA 94531-8644 · (303) 989-8169
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Hazel Portillo Juarez
4849 Lone Tree Way Ste C, Antioch, CA 94531-8644 · (303) 989-8169
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Nicole Pospisil
4849 Lone Tree Way Ste C, Antioch, CA 94531-8644 · (303) 989-8169
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Kiarra Powell
4849 Lone Tree Way Ste C, Antioch, CA 94531-8644 · (303) 989-8169