Individual provider · Type 1 NPI

Kathleen Basco

Licensed Psychiatric Technician · Fairfield, CA

NPI number 1508681990 Active

Practice location

1480 Descanso Ln
Fairfield, CA 94533-7149

Specialties and licenses

Taxonomy	Code	License
Licensed Psychiatric Technician Primary	167G00000X	37313 (CA)

Licensed Psychiatric Technician: An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental dis…

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About NPI 1508681990

Kathleen Basco's National Provider Identifier is 1508681990, issued on Nov 20, 2024. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Fairfield, CA. The record was last updated on Nov 20, 2024.