Jasmine Vega
Behavior Technician in Stockton, CA. Individual provider (NPI-1).
NPI number1962045641
StatusActive
Last updated in NPPESDec 20, 2021
Details
- NPI
- 1962045641
- Entity type
- Individual (NPI-1)
- Name
- Jasmine Vega
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2019
- Certification date
- Dec 17, 2021
- Last updated
- Dec 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 106S00000X | Behavior Technician | – | CA |
Practice location
1811 Grand Canal Blvd Ste 2Stockton, CA 95207-8107
Phone 209-452-8996
Mailing address
500 Fairway Dr Ste 102Deerfield Beach, FL 33441-1817
Phone 877-418-2978 · Fax 866-500-2186
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