Jayne Evelyn Brandt
Behavior Technician in San Diego, CA. Individual provider (NPI-1).
NPI number1316629975
StatusActive
Last updated in NPPESAug 3, 2023
Details
- NPI
- 1316629975
- Entity type
- Individual (NPI-1)
- Name
- Jayne Evelyn Brandt
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2023
- Certification date
- Aug 3, 2023
- Last updated
- Aug 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-23-283410 | CA | Yes |
Practice location
7592 Metropolitan Dr Ste 404San Diego, CA 92108-4428
Phone 619-376-6653
Mailing address
11475 Highway 99eLos Molinos, CA 96055-9631
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