Jalen Evers Threatt

NPI #1043089410 in Brentwood, California

Provider Information

NPI Number: 1043089410
Entity Type: Individual
Name: Jalen Evers Threatt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 27, 2023
Last Updated: Dec 27, 2023

Practice Location

Address: 1191 CENTRAL BLVD STE A
City: Brentwood
State: California
ZIP Code: 94513-2253
Phone: (855) 223-7123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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