Jessica Sandoval
Behavior Technician in Encino, CA. Individual provider (NPI-1).
NPI number1982434411
StatusActive
Last updated in NPPESAug 14, 2024
Details
- NPI
- 1982434411
- Entity type
- Individual (NPI-1)
- Name
- Jessica Sandoval
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 7, 2024
- Certification date
- Aug 14, 2024
- Last updated
- Aug 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
16500 Ventura Blvd Ste 414Encino, CA 91436-5050
Phone 562-552-0032
Mailing address
16500 Ventura Blvd Ste 414Encino, CA 91436-5050
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