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Jamilya Viravong

Behavior Technician in El Segundo, CA. Individual provider (NPI-1).

NPI number1619703782
StatusActive
Last updated in NPPESSep 13, 2024

Details

NPI
1619703782
Entity type
Individual (NPI-1)
Name
Jamilya Viravong
Sex
Female
Sole proprietor
No
Enumeration date
Sep 13, 2024
Certification date
Sep 13, 2024
Last updated
Sep 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

100 N Pacific Coast Hwy Ste 1400
El Segundo, CA 90245-5602

Phone 310-856-0800 · Fax 855-568-2494

Mailing address

100 N Pacific Coast Hwy Ste 1400
El Segundo, CA 90245-5602

Phone 310-856-0800 · Fax 855-568-2494

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