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Jaylene Acosta

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

NPI number1861180903
StatusActive
Last updated in NPPESApr 26, 2023

Details

NPI
1861180903
Entity type
Individual (NPI-1)
Name
Jaylene Acosta
Sex
Female
Sole proprietor
No
Enumeration date
Apr 26, 2023
Certification date
Apr 26, 2023
Last updated
Apr 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

14251 Danielson St
Poway, CA 92064-8818

Phone 858-699-7579

Mailing address

14251 Danielson St
Poway, CA 92064-8818

Phone 858-699-7579

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