Individual
CONSTANCE ANN NEIDERHEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3725 TAYLOR RD STE 1, LOOMIS, CA 95650-9283
(916) 652-5814
Mailing address
3725 TAYLOR RD STE 1, LOOMIS, CA 95650-9283
(916) 652-5814
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
07/16/2025
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