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Individual

CARLOS ALBERTO DANTAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1025 ATLANTIC AVE STE 101, ALAMEDA, CA 94501
(510) 268-8120
(510) 251-8120
Mailing address
1025 ATLANTIC AVE STE 101, ALAMEDA, CA 94501-1188
(510) 268-8120
(510) 251-8120

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/12/2018
Last updated
07/13/2018
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