THEODORE WILLIS III

Behavior Analyst

Active Individual
NPI: 1104506856

Practice Address

1811 GRAND CANAL BLVD STE 2
Stockton, CA 95207

Phone: (888) 880-9270

Specialties

Specialty Code Primary License
Behavior Analyst 103K00000X Yes -

Frequently Asked Questions

NPI 1104506856 is the National Provider Identifier for THEODORE WILLIS III, a Behavior Analyst provider located in Stockton, CA. This NPI was enumerated on July 18, 2023.
THEODORE WILLIS III practices at 1811 GRAND CANAL BLVD STE 2, Stockton, CA 95207.

Quick Facts

NPI
1104506856
Type
Individual
Enumerated
Jul 18, 2023
Last Updated
Jul 18, 2023

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