SAMUEL TRAVIS

CITRUS HEIGHTS, CA
NPI1063051126
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2020-01-06
Last Update Date2020-01-06
Business Address
SAMUEL TRAVIS
5620 BIRDCAGE ST
CITRUS HEIGHTS, CA 95610-7632
Phone number: 510-520-7768
Mailing Address
SAMUEL TRAVIS
3425 COFFEE RD STE C2
MODESTO, CA 95355-1582
Phone number: