Individual
AANYAH S WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9433 RANCH PARK WAY, ELK GROVE, CA 95624-1861
(510) 798-3404
Mailing address
9433 RANCH PARK WAY, ELK GROVE, CA 95624-1861
(510) 798-3404
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
01/12/2022
Last updated
03/04/2022
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