IVAN JOSEPH MUMM

FREMONT, CA
NPI1760020499
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: CA  46-1305562)
Enumeration Date2019-12-12
Last Update Date2019-12-12
Business Address
IVAN JOSEPH MUMM
39210 STATE ST STE 220
FREMONT, CA 94538-1456
Phone number: 510-894-4135
Mailing Address
IVAN JOSEPH MUMM
7620 MOUNTAIN BLVD APT 7
OAKLAND, CA 94605-3126
Phone number: 510-697-2921