Individual
ELIZABETH SAUSEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39159 PASEO PADRE PKWY STE 205, FREMONT, CA 94538-1623
(408) 372-8280
(408) 608-2203
Mailing address
39159 PASEO PADRE PKWY STE 205, FREMONT, CA 94538-1623
(408) 372-8280
(408) 608-2203
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
831554738
ABA THERAPY
CA
Enumeration date
09/17/2020
Last updated
09/17/2020
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