BRAVELL DOUGLAS SMITH

SAN DIEGO, CA
NPI1164139226
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2022-10-28
Last Update Date2022-10-28
Business Address
BRAVELL DOUGLAS SMITH
5755 OBERLIN DR
SAN DIEGO, CA 92121-1786
Phone number: 800-249-1266
Mailing Address
BRAVELL DOUGLAS SMITH
1301 E ORANGEWOOD AVE
ANAHEIM, CA 92805-6807
Phone number: