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Jayde Barber

Community Health Worker in Pasadena, CA. Individual provider (NPI-1).

NPI number1104477009
StatusActive
Last updated in NPPESSep 15, 2023

Details

NPI
1104477009
Entity type
Individual (NPI-1)
Name
Jayde Barber
Sex
Female
Sole proprietor
No
Enumeration date
Sep 23, 2019
Certification date
Sep 15, 2023
Last updated
Sep 15, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes
106S00000X Behavior Technician––

Practice location

456 E Orange Grove Blvd Ste 140
Pasadena, CA 91104-5235

Phone 626-765-6010

Mailing address

940 Avenue 64
Pasadena, CA 91105-2711

Phone 323-543-2800

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