Individual
ANNALISA SENGSOURITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3024 MCKEAN DR, LINCOLN, CA 95648-3037
(510) 684-4526
Mailing address
3024 MCKEAN DR, LINCOLN, CA 95648-3037
(510) 684-4526
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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