Jerrold A Ilagan

NPI #1043786395 in Brentwood, California

Provider Information

NPI Number: 1043786395
Entity Type: Individual
Name: Jerrold A Ilagan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Oct 14, 2018
Last Updated: Oct 14, 2018

Practice Location

Address: 1210 CENTRAL BLVD STE A
City: Brentwood
State: California
ZIP Code: 94513-2379
Phone: (925) 809-6565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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