Jerry Luong
Behavior Technician
29122 Rancho Viejo Rd Ste 206
San Juan Capistrano
, California 92675-1039
Jerry Luong
Behavior Technician
29122 Rancho Viejo Rd Ste 206
San Juan Capistrano
, California 92675-1039
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Jerry Luong
- 29122 Rancho Viejo Rd Ste 206
- San Juan Capistrano, CA
- Zip : 92675-1039
- Phone :
Second Address
- Jerry Luong
- 29122 Rancho Viejo Rd Ste 206
- San Juan Capistrano, CA
- Zip : 92675-1039
- Phone : (949) 335-0254
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | CA |
National Provider Identifier
| NPI | 1003322819 |
|---|---|
| Provider Name | Jerry Luong |
| First Address | San Juan Capistrano, CA 92675-1039 |
| Second Address | San Juan Capistrano, CA 92675-1039 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/12/2017 |
| Last Update Date | 17/12/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.