Individual
CHRISTINA FORGET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2775 COTTAGE WAY STE 7, SACRAMENTO, CA 95825-1220
(916) 489-1376
Mailing address
PO BOX 5157, MODESTO, CA 95352-5157
(209) 572-2589
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13771
—
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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