Jensen Gorman

NPI #1104531722 in San Clemente, California

Provider Information

NPI Number: 1104531722
Entity Type: Individual
Name: Jensen Gorman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 18, 2023
Last Updated: Apr 17, 2023

Practice Location

Address: 1319 CALLE AVANZADO
City: San Clemente
State: California
ZIP Code: 92673-6351
Phone: (949) 272-6146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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