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Jenelyn Balleta

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

NPI number1104783802
StatusActive
Last updated in NPPESJan 6, 2026

Details

NPI
1104783802
Entity type
Individual (NPI-1)
Name
Jenelyn Balleta
Sole proprietor
No
Enumeration date
Jan 6, 2026
Certification date
Jan 6, 2026
Last updated
Jan 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1149 W 190th St Ste 2200
Gardena, CA 90248-4344

Phone 310-856-0800

Mailing address

100 N Pacific Coast Hwy Ste 1400
El Segundo, CA 90245-5602

Phone 949-357-2556 · Fax 949-357-2556

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