Ila Bermodes
Ila Bermodes is a Behavior Technician in Stockton, California. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
3620 W Hammer LnStockton, CA 95219-5435
Phone: (186) 652-3426
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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 | 1780350686 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 19, 2021 |
| Last updated in NPPES | August 19, 2021 |
| Certification date | August 19, 2021 |
| Mailing address | 4722 White Forge Dr, Stockton, CA 95212-2759 |
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