Individual
ADIA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 PENINSULA AVE, SAN MATEO, CA 94401-1653
(650) 286-4396
Mailing address
5556 ARCADIA CIR, DISCOVERY BAY, CA 94505-2616
(925) 206-6814
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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