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Jose Giovanni Urena

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

NPI number1124875018
StatusActive
Last updated in NPPESApr 30, 2024

Details

NPI
1124875018
Entity type
Individual (NPI-1)
Name
Jose Giovanni Urena
Sex
Male
Sole proprietor
No
Enumeration date
Apr 30, 2024
Certification date
Apr 30, 2024
Last updated
Apr 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–CAYes

Practice location

24230 Barton Rd
Loma Linda, CA 92354-3232

Phone 747-786-4209

Mailing address

24230 Barton Rd
Loma Linda, CA 92354-3232

Phone 213-397-5588

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