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Individual

ADELYNN MAE HARBISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
800 HOWE AVE STE 140, SACRAMENTO, CA 95825-3965
(916) 350-1737
Mailing address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(949) 833-2237

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/10/2020
Last updated
01/10/2020
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