Individual
MICHELLE ZAVALETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N CHERRY ST, TULARE, CA 93274-2978
(559) 358-5006
Mailing address
600 N CHERRY ST, TULARE, CA 93274-2978
(559) 358-5006
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-11-8591
CA
103T00000X
Psychologist
3064
CA
103TS0200X
School Psychologist
Primary
160049502
CA
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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