Individual
AJANAE OVERSTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9370 W STOCKTON BLVD STE 100, ELK GROVE, CA 95758-8013
(209) 342-7353
Mailing address
9370 W STOCKTON BLVD STE 100, ELK GROVE, CA 95758-8013
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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