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NPI Code Detail

MEDICARE: TRISHA SAJOL

MEDICARE: TRISHA SAJOL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1003650276
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRISHA SAJOL
Provider Business Mailing Address
First Line : 8600 MIRANDELA WAY
Second Line :
City : ELK GROVE
State : CA
Zip : 95757-6340
Country : US
Telephone Number : 916-837-8840
Fax Number :
Provider Business Practice Location Address
First Line : 2368 MARITIME DR
Second Line :
City : ELK GROVE
State : CA
Zip : 95758-3652
Country : US
Telephone Number : 916-676-0488
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2024
Last Update Date : 06/22/2024

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Directions to “ TRISHA SAJOL ” Practice Location

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