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Individual

ADAM WILLIAM DE LOS SANTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
510 WHISPERING WIND DR STE 110, TRACY, CA 95377-8119
(209) 832-7756
Mailing address
PO BOX 5157, MODESTO, CA 95352-5157

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51628
CA
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician
RBT-17-31640
CA

Other

Enumeration date
03/12/2018
Last updated
07/19/2021
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