Fatima Maria Grace Dishaw
Fatima Maria Grace Dishaw is a Behavior Technician in Simi Valley, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1900 E Los Angeles Ave Ste 100Simi Valley, CA 93065-6560
Phone: (805) 537-0620
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1194579342 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 15, 2024 |
| Last updated in NPPES | April 15, 2024 |
| Certification date | April 15, 2024 |
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