Jackie Stephanie Cutz
Behavior Technician in Encino, CA. Individual provider (NPI-1).
NPI number1932097367
StatusActive
Last updated in NPPESJun 25, 2025
Details
- NPI
- 1932097367
- Entity type
- Individual (NPI-1)
- Name
- Jackie Stephanie Cutz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2025
- Certification date
- Jun 25, 2025
- Last updated
- Jun 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
16400 Ventura Blvd Ste 327Encino, CA 91436-2190
Phone 747-221-4222
Mailing address
16400 Ventura Blvd Ste 327Encino, CA 91436-2190
Phone 747-221-4222
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