Individual
CHRIS MAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HIGHLANDS RD, SAN PABLO, CA 94806-1044
(510) 230-5007
Mailing address
535 RIDGE AVE, VALLEJO, CA 94591-8084
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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