JAMES A A DETAR
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1699551622- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 39510 PASEO PADRE PKWY STE 190, FREMONT, CA, 945384716
- Phone
- (510) 403-5916
Specialties & Taxonomies
Behavior Technician
Primary