Individual
ADAM C SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 SNEATH LN STE 200, SAN BRUNO, CA 94066-2349
(650) 243-9849
Mailing address
3506 ALTAMONT WAY, REDWOOD CITY, CA 94062-3106
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3506
—
CA
Enumeration date
07/11/2020
Last updated
07/27/2020
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