Marcus Kyle Carlos Fajardo Valid NPI

Individual provider · Behavior Technician · Hermosa Beach, CA

NPI

1740948116

Type

Individual (Type 1)

Primary specialty

Behavior Technician

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

106S00000X

Sex

Male

Sole proprietor

No

Enumerated

2021-12-02

Last updated

2021-12-02