Tidus Edwin Viveros
Tidus Edwin Viveros is a Behavior Technician in Sacramento, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1050 Fulton Ave Ste 235Sacramento, CA 95825-4299
Phone: (559) 369-5101
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1902520224 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 29, 2022 |
| Last updated in NPPES | September 29, 2022 |
| Certification date | September 29, 2022 |
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