NISSA INTARACHOTE VAN ETTEN

Behavior Analyst

Active Individual
NPI: 1093087181

Practice Address

311 LENNON LN
SUITE A
Walnut Creek, CA 94598

Phone: (925) 210-9370

Specialties

Specialty Code Primary License
Behavior Analyst 103K00000X Yes 1084077 (CA)

Frequently Asked Questions

NPI 1093087181 is the National Provider Identifier for NISSA INTARACHOTE VAN ETTEN, a Behavior Analyst provider located in Walnut Creek, CA. This NPI was enumerated on February 3, 2012.
NISSA INTARACHOTE VAN ETTEN practices at 311 LENNON LN, SUITE A, Walnut Creek, CA 94598.

Quick Facts

NPI
1093087181
Type
Individual
Enumerated
Feb 3, 2012
Last Updated
Feb 3, 2012

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