Jonah Powers-Myszka
Behavior Technician in Gardena, CA. Individual provider (NPI-1).
NPI number1710696257
StatusActive
Last updated in NPPESNov 22, 2022
Details
- NPI
- 1710696257
- Entity type
- Individual (NPI-1)
- Name
- Jonah Powers-Myszka
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 22, 2022
- Certification date
- Nov 22, 2022
- Last updated
- Nov 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1149 W 190th St Ste 2200Gardena, CA 90248-4344
Phone 310-856-0800 · Fax 855-568-2494
Mailing address
1149 W 190th St Ste 2200Gardena, CA 90248-4344
Phone 310-856-0800 · Fax 855-568-2494
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