Individual
AADHITYASHANKAR ARAVIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2865 SUNRISE BLVD STE 112, RANCHO CORDOVA, CA 95742-6108
(805) 372-2897
Mailing address
3500 DATA DR, RANCHO CORDOVA, CA 95670-7942
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
LDS6542
PA
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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