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Individual

DILLON BEN DEBODA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8912 VOLUNTEER LN, SACRAMENTO, CA 95826-3221
(916) 344-0199
Mailing address
8912 VOLUNTEER LN, SACRAMENTO, CA 95826-3221
(916) 344-0199

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
08/09/2019
Last updated
03/25/2026
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