Nissa Intarachote Van Etten

NPI 1093087181 · on the registry since 2012

Practice

Address: 311 Lennon Ln
Suite A
Walnut Creek, CA 94598
Phone: (925) 210-9370
Fax: (925) 210-0436
Organisation at this address: Swk Pc
Behavior Analysts, Inc.
Behavior Analysts, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: Behavior Analyst
103K00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-02-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California