Individual
ADRIENNE RENOIR-PALECEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 14TH ST, MODESTO, CA 95354-1003
(209) 572-2589
(209) 572-1461
Mailing address
PO BOX 5157, MODESTO, CA 95352-5157
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45207
CA
106E00000X
Assistant Behavior Analyst
0-20-10912
CA
106S00000X
Behavior Technician
17-30935
CA
Other
Enumeration date
03/09/2018
Last updated
10/13/2022
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