TRAVIS KINCAID

SANTA ANA, CA
NPI1295327146
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: CA  MPSS-JKYHOE)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2021-02-10
Last Update Date2025-02-17
Business Address
Mr. TRAVIS KINCAID
2636 W ORION AVE APT 1
SANTA ANA, CA 92704-7078
Phone number: 214-422-6386
Mailing Address
Mr. TRAVIS KINCAID
2041 EAST STREET PMB 875
CONCORD, CA 94520-9452
Phone number: 214-422-6386
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