Dejena Phoenix
Assistant Behavior Analyst in Rocklin, CA. Individual provider (NPI-1).
NPI number1033819214
StatusActive
Last updated in NPPESJun 20, 2023
Details
- NPI
- 1033819214
- Entity type
- Individual (NPI-1)
- Name
- Dejena Phoenix
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 7, 2023
- Certification date
- Jun 20, 2023
- Last updated
- Jun 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106E00000X | Assistant Behavior Analyst | – | – | Yes |
Practice location
2209 Plaza Dr Ste 100Rocklin, CA 95765-4419
Phone 888-922-2843 · Fax 855-568-2494
Mailing address
2550 N Hollywood Way Ste 301Burbank, CA 91505-5025
Phone 866-727-8274
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