Jorge Siguenza
Behavior Technician in Gardena, CA. Individual provider (NPI-1).
NPI number1639799208
StatusActive
Last updated in NPPESApr 23, 2020
Details
- NPI
- 1639799208
- Entity type
- Individual (NPI-1)
- Name
- Jorge Siguenza
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 23, 2020
- Certification date
- Apr 23, 2020
- Last updated
- Apr 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
500 W 190th St Ste 220Gardena, CA 90248-4270
Phone 866-727-8274
Mailing address
500 W 190th St Ste 220Gardena, CA 90248-4270
Phone 866-727-8274
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