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Jayla Rush

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

NPI number1194355545
StatusActive
Last updated in NPPESJan 23, 2020

Details

NPI
1194355545
Entity type
Individual (NPI-1)
Name
Jayla Rush
Sex
Female
Sole proprietor
No
Enumeration date
Jan 23, 2020
Certification date
Jan 23, 2020
Last updated
Jan 23, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

865 Marina Bay Pkwy Ste 37
Richmond, CA 94804-6426

Phone 510-422-6311

Mailing address

188 Valley Oak Ln
Vallejo, CA 94591-8038

Phone 510-731-8554

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