Individual
ADAM TRUESDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6203 SAN IGNACIO AVE STE 110, SAN JOSE, CA 95119-1358
(855) 832-6727
Mailing address
6203 SAN IGNACIO AVE STE 110, SAN JOSE, CA 95119-1358
(855) 832-6727
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-18-60664
CA
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/07/2018
Last updated
07/21/2022
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