Jade Story

NPI #1972237816 in Rialto, California

Provider Information

NPI Number
1972237816
Entity Type
Individual
Name
Jade Story
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Jul 15, 2022
Last Updated
Jul 15, 2022

Practice Location

Address
1142 W BUXTON ST
City
Rialto
ZIP Code
92377-8833
Phone
(909) 419-0967

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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