Individual
TANIA IZQUIERDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 KIETZKE LANE BLDG. A STE 103, RENO, NV 89502
(888) 512-2695
(916) 729-3006
Mailing address
6400 TUPELO DR, CITRUS HEIGHTS, CA 95621-1741
(916) 729-3098
(916) 729-3006
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-20825
CA
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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