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Jett Luciaenne Norcross I

Behavior Technician in Modesto, CA. Individual provider (NPI-1).

NPI number1063264372
StatusActive
Last updated in NPPESJul 11, 2025

Details

NPI
1063264372
Entity type
Individual (NPI-1)
Name
Jett Luciaenne Norcross I
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 2, 2024
Certification date
Jul 11, 2025
Last updated
Jul 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

605 Standiford Ave Ste B
Modesto, CA 95350-1000

Phone 877-418-2978 · Fax 866-500-2186

Mailing address

350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834

Phone 877-418-2978 · Fax 866-500-2186

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