Jordyn C Defalco

NPI #1033609755 in Newbury Park, California

Provider Information

NPI Number: 1033609755
Entity Type: Individual
Name: Jordyn C Defalco
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 17, 2018
Last Updated: May 17, 2018

Practice Location

Address: 1239 ROTELLA ST
City: Newbury Park
State: California
ZIP Code: 91320-5531
Phone: (805) 551-7613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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