Jesse Hogan
Behavior Technician in Avondale, AZ. Individual provider (NPI-1).
NPI number1437726593
StatusActive
Last updated in NPPESJun 8, 2021
Details
- NPI
- 1437726593
- Entity type
- Individual (NPI-1)
- Name
- Jesse Hogan
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2021
- Certification date
- Jun 8, 2021
- Last updated
- Jun 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
10320 W McDowell Rd Ste K1136Avondale, AZ 85392-4876
Phone 855-223-7123
Mailing address
16782 Von Karman Ave Ste 11Irvine, CA 92606-2417
Phone 855-223-7123
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