Individual
AUBREY A SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 CONCAR DR STE 4-134, SAN MATEO, CA 94402-2681
(650) 931-6300
Mailing address
650 LA SIESTA CT, TURLOCK, CA 95380-4439
(209) 620-9991
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47075
TX
106E00000X
Assistant Behavior Analyst
0-20-11473
TX
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
07/14/2017
Last updated
06/10/2026
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