Jessica Rae Bongi

NPI #1750916482 in Eastvale, California

Provider Information

NPI Number: 1750916482
Entity Type: Individual
Name: Jessica Rae Bongi
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 3, 2020
Last Updated: Mar 3, 2020

Practice Location

Address: 12971 OAKDALE ST
City: Eastvale
State: California
ZIP Code: 92880-8507
Phone: (951) 284-9533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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