Mario Baconawa
Mario Baconawa is a Behavior Technician in Woodland, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
250 W Main St Ste 100Woodland, CA 95695-3686
Phone: (530) 379-1393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (CA) |
|---|
Record details
| NPI number | 1639898182 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 25, 2022 |
| Last updated in NPPES | August 25, 2022 |
| Certification date | August 25, 2022 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 |
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Rina Bacigalupi
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Carlos Cardenas
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