Gregory Noah Theodore
Gregory Noah Theodore is a Behavior Technician in San Jose, California. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1922 The Alameda Ste 425San Jose, CA 95126-1453
Phone: (866) 523-4268
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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 | 1003401555 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 6, 2021 |
| Last updated in NPPES | March 6, 2021 |
| Certification date | March 6, 2021 |
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