Individual
XAVIER NATHANIEL HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4196 DOUGLAS BLVD STE 100, GRANITE BAY, CA 95746-5904
(916) 489-1376
Mailing address
PO BOX 5157, MODESTO, CA 95352-5157
(209) 572-2589
(209) 353-3353
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
F4498482
CA
106E00000X
Assistant Behavior Analyst
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XDP923A75466
ANTHEM BLUE CROSS
CA
Enumeration date
06/27/2017
Last updated
06/23/2020
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