Jenna Cannon

NPI #1174175228 in Granite Bay, California

Provider Information

NPI Number: 1174175228
Entity Type: Individual
Name: Jenna Cannon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 9, 2019
Last Updated: Jul 9, 2019

Practice Location

Address: 4196 DOUGLAS BLVD
City: Granite Bay
State: California
ZIP Code: 95746-5904
Phone: (916) 489-1376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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