Theodore DO
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 AveWoodland, CA 95695-2779
Phone: (530) 661-3213
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Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X (CA) |
|---|---|
| Behavior Technician | Taxonomy 106S00000X (CA) |
Record details
| NPI number | 1407627458 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 9, 2024 |
| Last updated in NPPES | February 21, 2024 |
| Certification date | February 21, 2024 |
| Mailing address | 584 Kentucky Ave, Woodland, CA 95695-2779 |
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