Jaisyn Leak

NPI #1780388942 in Rialto, California

Provider Information

NPI Number: 1780388942
Entity Type: Individual
Name: Jaisyn Leak
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Mar 29, 2023
Last Updated: Mar 29, 2023

Practice Location

Address: 3670 N LIVE OAK AVE
City: Rialto
State: California
ZIP Code: 92377-3428
Phone: (951) 283-9289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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