Keith Kofutua
Keith Kofutua is a Behavior Technician in San Bruno, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
751 Camino Plz Ste ASan Bruno, CA 94066-3401
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 | 1275291304 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 6, 2021 |
| Last updated in NPPES | December 6, 2021 |
| Certification date | December 6, 2021 |
| Mailing address | 751 Camino Plz, Suite A, San Bruno, CA 94066-3401 |
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