Individual
CHRISTIAN JUDE DAUPHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
755 BAYWOOD DR FL 2, PETALUMA, CA 94954-5510
(408) 767-9483
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
Y8309601
CA
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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