BLAINE MICHAEL MENSA

CONCORD, CA
NPI1366225740
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-08-17
Last Update Date2023-08-17
Business Address
BLAINE MICHAEL MENSA
1200 CONCORD AVE STE 100
CONCORD, CA 94520-4969
Phone number: 510-268-8120
Mailing Address
BLAINE MICHAEL MENSA
1200 CONCORD AVE STE 100
CONCORD, CA 94520-4969
Phone number: