Jamie Yvonne Custodio
NPI #1205339470 in Eielson Afb, Alaska
Provider Information
- NPI Number
- 1205339470
- Entity Type
- Individual
- Name
- Jamie Yvonne Custodio
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Mar 14, 2018
- Last Updated
- Jan 17, 2025
Practice Location
- Address
- 2462 BALD EAGLE LN APT D
- City
- Eielson Afb
- State
- Alaska
- ZIP Code
- 99702-4007
- Phone
- (925) 305-6722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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