Jason Collins
Behavior Technician in Anaheim, CA. Individual provider (NPI-1).
NPI number1164064960
StatusActive
Last updated in NPPESOct 13, 2019
Details
- NPI
- 1164064960
- Entity type
- Individual (NPI-1)
- Name
- Jason Collins
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 13, 2019
- Last updated
- Oct 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2400 E Katella Ave Ste 800Anaheim, CA 92806-5955
Phone 833-288-4764
Mailing address
23679 Calabasas Rd Unit 954Calabasas, CA 91302-1502
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