Jmai Kirtdoll
Behavior Technician in Fairfield, CA. Individual provider (NPI-1).
NPI number1003565342
StatusActive
Last updated in NPPESMar 23, 2022
Details
- NPI
- 1003565342
- Entity type
- Individual (NPI-1)
- Name
- Jmai Kirtdoll
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2022
- Certification date
- Mar 23, 2022
- Last updated
- Mar 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
801 Jefferson St Ste 4&35&6Fairfield, CA 94533-5557
Phone 855-223-7123
Mailing address
16782 Von Karman Ave Ste 11Irvine, CA 92606-2417
Phone 855-223-7123 · Fax 619-374-7134
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