Individual
MRS. AKITRA BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
501 MARENGO AVE, STOCKTON, CA 95207-3813
(209) 981-8681
Mailing address
501 MARENGO AVE, STOCKTON, CA 95207-3813
(209) 981-8681
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52648
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/11/2020
Last updated
08/30/2021
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