Individual
AUDREY DAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1731 CALIFORNIA ST APT 6, BERKELEY, CA 94703-1254
(925) 817-9751
Mailing address
1918 UNIVERSITY AVE STE 2B, BERKELEY, CA 94704-3264
(510) 548-9716
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/05/2018
Last updated
06/18/2024
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