Diego Jorquera Sandoval, BS

NPI #1992566228 in Woodstock, Georgia

Provider Information

NPI Number: 1992566228
Entity Type: Individual
Name: Diego Jorquera Sandoval, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: BS
Enumeration Date: Jan 23, 2024
Last Updated: Jan 23, 2024

Practice Location

Address: 3229 S CHEROKEE LN STE 400
City: Woodstock
State: Georgia
ZIP Code: 30188-4461
Phone: (470) 499-2480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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