Jessica Leon Gaitan

NPI #1619530904 in Walnut Park, California

Provider Information

NPI Number: 1619530904
Entity Type: Individual
Name: Jessica Leon Gaitan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 22, 2019
Last Updated: Apr 22, 2019

Practice Location

Address: 7400 PACIFIC BLVD STE A&B
City: Walnut Park
State: California
ZIP Code: 90255-5954
Phone: (323) 538-9050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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