Individual
ADRIAN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7090 MIRATECH DR, SAN DIEGO, CA 92121-3109
(858) 304-6440
Mailing address
2711 LINCOLN AVE, SAN DIEGO, CA 92104-2803
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-143445
CA
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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