Jailah Marie Wiltz
Behavior Technician in Antioch, CA. Individual provider (NPI-1).
NPI number1043974751
StatusActive
Last updated in NPPESOct 28, 2021
Details
- NPI
- 1043974751
- Entity type
- Individual (NPI-1)
- Name
- Jailah Marie Wiltz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2021
- Certification date
- Oct 28, 2021
- Last updated
- Oct 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3104 Delta Fair BlvdAntioch, CA 94509-4001
Phone 925-709-6060
Mailing address
21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807
Phone 818-345-2345
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