MCKENNA SHADE

Behavior Technician

Active Individual
NPI: 1114749041

Practice Address

400 CONCAR DR
San Mateo, CA 94402

Phone: (650) 931-6300

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1114749041 is the National Provider Identifier for MCKENNA SHADE, a Behavior Technician provider located in San Mateo, CA. This NPI was enumerated on October 30, 2024.
MCKENNA SHADE practices at 400 CONCAR DR, San Mateo, CA 94402.

Quick Facts

NPI
1114749041
Type
Individual
Enumerated
Oct 30, 2024
Last Updated
Oct 30, 2024

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