Individual
ANTHONY JACOB ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5111 JOHNSON DR, PLEASANTON, CA 94588-3343
(206) 714-7219
Mailing address
60 VINTAGE CIR UNIT 306, PLEASANTON, CA 94566-6460
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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