Individual
ALEENA PUNKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2291 W MARCH LN, STOCKTON, CA 95207-6652
(209) 594-0257
Mailing address
4355 LEGACY CT, STOCKTON, CA 95219-2506
(209) 542-0757
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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