Provider / Organization | NPI | Date Certified |
---|---|---|
QUNIECA ROBERTSON | 1144829516 | 2020-10-18 |
Qunieca Robertson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1144829516. Registration indicates Qunieca Robertson is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
Entity Type | Individual |
Provider Name | Qunieca Robertson |
Practice Office Address | 755 E VIRGINIA WAY APT 90 BARSTOW, CA US |
Practice Office Telephone | 5624430981 |
Mailing Address | 755 E VIRGINIA WAY APT 90 BARSTOW, CA 923113962 US |
Business Telephone | 5624430981 |
Code | Practice | License No State |
---|---|---|
106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |
CA |