Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | 17-29803 | CA |
NPI | 1003314881 |
---|---|
Provider Name | Jaynee Yang |
First Address | Deerfield Beach, FL 33441-1817 |
Second Address | Stockton, CA 95207-8107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2018 |
Last Update Date | 07/04/2021 |