Individual
SHIRLENE MARIE NORTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7525 KALAMAZOO DR, CITRUS HEIGHTS, CA 95610-7413
(916) 604-1349
Mailing address
7525 KALAMAZOO DR, CITRUS HEIGHTS, CA 95610-7413
(916) 604-1349
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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