Jennifer So
Behavior Technician in Garden Grove, CA. Individual provider (NPI-1).
NPI number1891290128
StatusActive
Last updated in NPPESMar 28, 2018
Details
- NPI
- 1891290128
- Entity type
- Individual (NPI-1)
- Name
- Jennifer So
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2018
- Last updated
- Mar 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 0002665 | CA | Yes |
Practice location
12399 Lewis St Ste 202Garden Grove, CA 92840-4697
Phone 714-750-0575
Mailing address
21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807
Phone 818-345-2345
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All 2,260 Behavior Technician providers in Garden Grove · All 5,773 providers in Garden Grove
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