MR. Jonathan Lee Trotter SR., RADT

NPI #1750041000 in Venice, California

Provider Information

NPI Number: 1750041000
Entity Type: Individual
Name: MR. Jonathan Lee Trotter SR., RADT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: RADT
Enumeration Date: Dec 28, 2021
Last Updated: Dec 28, 2021

Practice Location

Address: 1421 VENICE BLVD APT 2
City: Venice
State: California
ZIP Code: 90291-5060
Phone: (310) 801-7206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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