Charizma Jynelle Sinthavong
Behavior Technician in San Marcos, CA. Individual provider (NPI-1).
NPI number1174162002
StatusActive
Last updated in NPPESDec 23, 2019
Details
- NPI
- 1174162002
- Entity type
- Individual (NPI-1)
- Name
- Charizma Jynelle Sinthavong
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 23, 2019
- Certification date
- Dec 23, 2019
- Last updated
- Dec 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
334 Via Vera Cruz Ste 102San Marcos, CA 92078-2636
Phone 760-304-5010
Mailing address
21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807
Phone 818-345-2345
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