Individual
ADELINA HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.A. PSYCHOLOGY
Contact information
Practice address
39201 STATE ST, FREMONT, CA 94538-1437
(866) 206-2008
Mailing address
318 DEL SOL AVE, PLEASANTON, CA 94566-7108
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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