MS. Emily Rose Srisouvanh
MS. Emily Rose Srisouvanh is a Behavior Technician in Fremont, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
39159 Paseo Padre Pkwy Ste 205Fremont, CA 94538-1623
Phone: (510) 730-2790
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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 | 1629672688 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 30, 2020 |
| Last updated in NPPES | November 30, 2020 |
| Certification date | November 30, 2020 |
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