Jeremy Jacob Mercado
Behavior Technician in Pomona, CA. Individual provider (NPI-1).
NPI number1497503239
StatusActive
Last updated in NPPESMay 7, 2024
Details
- NPI
- 1497503239
- Entity type
- Individual (NPI-1)
- Name
- Jeremy Jacob Mercado
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 7, 2024
- Certification date
- May 7, 2024
- Last updated
- May 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
801 Corporate Center Dr Ste 210Pomona, CA 91768-2627
Phone 909-634-3974
Mailing address
801 Corporate Center Dr Ste 210Pomona, CA 91768-2627
Is something wrong?
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