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Jaceion Santana

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

NPI number1710691530
StatusActive
Last updated in NPPESJan 6, 2023

Details

NPI
1710691530
Entity type
Individual (NPI-1)
Name
Jaceion Santana
Sex
Male
Sole proprietor
No
Enumeration date
Jan 6, 2023
Certification date
Jan 6, 2023
Last updated
Jan 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

2453 Grand Canal Blvd Ste A
Stockton, CA 95207-8138

Phone 855-223-7123

Mailing address

16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417

Phone 855-223-7123 · Fax 619-374-7134

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