Deanna Elaine Borjesson

Individual provider Active NPI Behavior Technician · Marysville, CA

NPI 1497224646 · NPPES record last updated Nov 16, 2018

Key facts

NPI
1497224646
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1927 Pyramid Creek Dr
Marysville, CA 95901-8277
Phone
(530) 743-9029
NPI assigned
Nov 16, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1927 Pyramid Creek Dr
Marysville, CA 95901-8277

Mailing address

6400 Tupelo Dr
Citrus Heights, CA 95621-1741

Other providers in Marysville, CA

All providers in Marysville, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.