Individual
BANETTA BACCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3725 TAYLOR RD, LOOMIS, CA 95650-9283
(916) 652-5814
Mailing address
275 NEVEDA ST, AUBURN, CA 95603
(530) 887-9982
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/12/2012
Last updated
11/06/2025
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