DAVID LARKIN BLANKENBAKER

SANTA ROSA, CA
NPI1871069690
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: CA  RBT-18-66215)
Enumeration Date2018-10-18
Last Update Date2018-10-18
Business Address
DAVID LARKIN BLANKENBAKER
1335 N DUTTON AVE
SANTA ROSA, CA 95401-4609
Phone number: 855-223-7123
Mailing Address
DAVID LARKIN BLANKENBAKER
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123