Individual
COLLEEN ANN MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8801 FOLSOM BLVD, SACRAMENTO, CA 95826-3257
(916) 382-4447
Mailing address
1315 ROLLING HILLS DR, ROSEVILLE, CA 95661-5449
(916) 677-6840
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
00004855
CA
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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