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Michael Jess Santillan Jr.

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

NPI number1235809062
StatusActive
Last updated in NPPESSep 14, 2021

Details

NPI
1235809062
Entity type
Individual (NPI-1)
Name
Michael Jess Santillan Jr.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 14, 2021
Certification date
Sep 14, 2021
Last updated
Sep 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

310 E Palmdale Blvd Ste G
Palmdale, CA 93550-7143

Phone 661-258-3211 · Fax 855-568-2494

Mailing address

18726 S Western Ave Ste 408
Gardena, CA 90248-3858

Phone 310-856-0800 · Fax 855-568-2494

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