Janelle Morelos Medina-Vicente

NPI #1154025724 in Travis Afb, California

Provider Information

NPI Number: 1154025724
Entity Type: Individual
Name: Janelle Morelos Medina-Vicente
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 28, 2023
Last Updated: Dec 20, 2024

Practice Location

Address: 101 BODIN CIRCLE
Address 2: BUILDING 791
City: Travis Afb
State: California
ZIP Code: 94535
Phone: (707) 423-2348

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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