Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-20-46115 | CA |
N | 106E00000X | Assistant Behavior Analyst |
NPI | 1164906202 |
---|---|
Provider Name | Jennifer Jung Fuchs |
First Address | Milpitas, CA 95035-8618 |
Second Address | Mountain View, CA 94040-2629 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2018 |
Last Update Date | 02/12/2020 |