Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | ||
N | 106S00000X | Behavior Technician |
NPI | 1053998435 |
---|---|
Provider Name | Eunice Sinae Jang |
First Address | Valencia, CA 91355-4983 |
Second Address | Valencia, CA 91355-4983 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2021 |
Last Update Date | 22/10/2021 |