Jalon Adrice Craine II
Behavior Technician in Concord, CA. Individual provider (NPI-1).
NPI number1407581382
StatusActive
Last updated in NPPESJul 23, 2022
Details
- NPI
- 1407581382
- Entity type
- Individual (NPI-1)
- Name
- Jalon Adrice Craine II
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2022
- Certification date
- Jul 23, 2022
- Last updated
- Jul 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | E2595323 | CA | Yes |
Practice location
1200 Concord Ave Ste 100Concord, CA 94520-4969
Phone 279-786-6293
Mailing address
1200 Concord Ave Ste 100Concord, CA 94520-4969
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