Individual
ALEETHA REBEKAH RANSBOTTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 PARKMOOR AVE STE 208, SAN JOSE, CA 95126-3407
(408) 318-3084
Mailing address
840 MERIDIAN WAY APT 99, SAN JOSE, CA 95126-3805
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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