Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theodore DO

Individual provider Behavior Technician · NPI 1407627458

Theodore DO is a Behavior Technician in Woodland, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

584 Kentucky Ave
Woodland, CA 95695-2779
Phone: (530) 661-3213
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (CA)
Behavior Technician Taxonomy 106S00000X (CA)

Record details

NPI number1407627458
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 9, 2024
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024
Mailing address584 Kentucky Ave, Woodland, CA 95695-2779

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