Jayden Thomas
Behavior Technician in Riverside, CA. Individual provider (NPI-1).
NPI number1124763370
StatusActive
Last updated in NPPESMay 2, 2022
Details
- NPI
- 1124763370
- Entity type
- Individual (NPI-1)
- Name
- Jayden Thomas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 2, 2022
- Certification date
- May 2, 2022
- Last updated
- May 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
14427 Meridian Pkwy # 7eRiverside, CA 92518-3014
Phone 855-581-0100
Mailing address
2080 N Tustin Ave Ste BSanta Ana, CA 92705-7875
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