Jonny'S Jara-Silva
Behavior Technician in East Haven, CT. Individual provider (NPI-1).
NPI number1861209264
StatusActive
Last updated in NPPESDec 18, 2024
Details
- NPI
- 1861209264
- Entity type
- Individual (NPI-1)
- Name
- Jonny'S Jara-Silva
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 18, 2024
- Certification date
- Dec 18, 2024
- Last updated
- Dec 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
23 Pondview TerEast Haven, CT 06512-5400
Phone 203-507-8895
Mailing address
23 Pondview TerEast Haven, CT 06512-5400
Phone 203-507-8895
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