SHANICE ESCHELLE TAVITA

PETALUMA, CA
NPI1871095067
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2018-03-02
Last Update Date2018-03-02
Business Address
SHANICE ESCHELLE TAVITA
101 H ST STE L
PETALUMA, CA 94952-5100
Phone number: 866-206-2008
Mailing Address
SHANICE ESCHELLE TAVITA
2253 E LELAND RD APT 74
PITTSBURG, CA 94565-5140
Phone number: 925-597-7433