Individual
DANIEL ONOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
(707) 784-8320
Mailing address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/04/2019
Last updated
08/06/2024
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