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Jayenedeyve N/A Caraballo

Behavior Technician in Woodland Hills, CA. Individual provider (NPI-1).

NPI number1649028895
StatusActive
Last updated in NPPESMay 10, 2024

Details

NPI
1649028895
Entity type
Individual (NPI-1)
Name
Jayenedeyve N/A Caraballo
Sex
Female
Sole proprietor
No
Enumeration date
May 10, 2024
Certification date
May 10, 2024
Last updated
May 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician106S00000XCAYes

Practice location

21600 Oxnard St
Woodland Hills, CA 91367-4976

Phone 877-206-1009

Mailing address

2408 Gentry St
Bakersfield, CA 93309-5114

Phone 661-638-3802

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