Jessica Shamam
Behavior Technician in Encino, CA. Individual provider (NPI-1).
NPI number1629969860
StatusActive
Last updated in NPPESJul 15, 2025
Details
- NPI
- 1629969860
- Entity type
- Individual (NPI-1)
- Name
- Jessica Shamam
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2025
- Certification date
- Jul 15, 2025
- Last updated
- Jul 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
16255 Ventura Blvd Ste 900Encino, CA 91436-2317
Phone 858-264-5858
Mailing address
16255 Ventura Blvd Ste 900Encino, CA 91436-2317
Phone 858-264-5858
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