THASAL AFZAL
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1407721343- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 605 STANDIFORD AVE STE B, MODESTO, CA, 953501000
- Phone
- (877) 418-2978
Specialties & Taxonomies
Behavior Technician
Primary License: CA