Individual
GREGORY ALEXANDER MCKINLEY DILTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
3815 MARCONI AVE, SACRAMENTO, CA 95821-3867
(916) 890-3000
Mailing address
3815 MARCONI AVE, SACRAMENTO, CA 95821-3867
(916) 890-3000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
11/04/2019
Last updated
04/02/2026
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