Individual
BREANNA VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 GRAND CANAL BLVD STE 2, STOCKTON, CA 95207-8107
(209) 452-8996
Mailing address
4770 WEST LN UNIT 11101, STOCKTON, CA 95210-3573
(209) 598-7671
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/16/2022
Last updated
06/23/2022
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