David E Brock, RADT
David E Brock, RADT is a Behavior Technician in Corona del Mar, California. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
601 Dahlia AveCorona del Mar, CA 92625-2102
Phone: (951) 259-3122
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1912622234 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RADT |
| Sole proprietor | Yes |
| NPI enumerated | October 10, 2022 |
| Last updated in NPPES | October 10, 2022 |
| Certification date | October 9, 2022 |
| Mailing address | 601 Dahlia Ave, Corona Del Mar, CA 92625-2102 |
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