Individual
MR. JOSE ANTONIO SALAZAR HERRERA I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 EDMONDS RD., BUILDING D, REDWOOD CITY, CA 94062
(310) 221-6336
Mailing address
240 EDMONDS RD., BUILDING D, REDWOOD CITY, CA 94062
(310) 221-6336
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Y3912691
CA
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/01/2018
Last updated
01/12/2026
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