Jaylen Deandre Tregle

NPI #1003448366 in Vallejo, California

Provider Information

NPI Number: 1003448366
Entity Type: Individual
Name: Jaylen Deandre Tregle
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 5, 2020
Last Updated: Feb 5, 2020

Practice Location

Address: 216 CLEARPOINTE DR
City: Vallejo
State: California
ZIP Code: 94591-8285
Phone: (707) 980-4644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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