Jaylen Deandre Tregle
Behavior Technician in Vallejo, CA. Individual provider (NPI-1).
NPI number1003448366
StatusActive
Last updated in NPPESFeb 5, 2020
Details
- NPI
- 1003448366
- Entity type
- Individual (NPI-1)
- Name
- Jaylen Deandre Tregle
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 5, 2020
- Certification date
- Feb 5, 2020
- Last updated
- Feb 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
216 Clearpointe DrVallejo, CA 94591-8285
Phone 707-980-4644
Mailing address
216 Clearpointe DrVallejo, CA 94591-8285
Phone 707-980-4644
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