Jisoo Han
Behavior Technician in Monrovia, CA. Individual provider (NPI-1).
NPI number1942936596
StatusActive
Last updated in NPPESJul 26, 2022
Details
- NPI
- 1942936596
- Entity type
- Individual (NPI-1)
- Name
- Jisoo Han
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2022
- Certification date
- Jul 26, 2022
- Last updated
- Jul 26, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1333 S Mayflower Ave Ste 220Monrovia, CA 91016-5239
Phone 818-241-6780
Mailing address
1333 S Mayflower Ave Ste 220Monrovia, CA 91016-5239
Phone 310-502-0588
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 17,475 Behavior Technician providers in Monrovia · All 18,566 providers in Monrovia
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