Individual
ADAMA HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
445 LEIGH AVE, LOS GATOS, CA 95032-4000
(866) 227-1211
Mailing address
445 LEIGH AVE, LOS GATOS, CA 95032-4000
(866) 227-1211
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y5429942
DMV
CA
Enumeration date
11/30/2018
Last updated
11/30/2018
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