Moncerrad Juarez Jaimes
Behavior Technician in Stockton, CA. Individual provider (NPI-1).
NPI number1386554657
StatusActive
Last updated in NPPESSep 9, 2026
Details
- NPI
- 1386554657
- Entity type
- Individual (NPI-1)
- Name
- Moncerrad Juarez Jaimes
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2026
- Certification date
- Sep 9, 2026
- Last updated
- Sep 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
4719 Quail Lakes Dr Ste G409Stockton, CA 95207-8140
Phone 209-208-4804
Mailing address
4719 Quail Lakes Dr Ste G409Stockton, CA 95207-8140
Phone 209-208-4804
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