Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | ||
N | 106S00000X | Behavior Technician | CA |
NPI | 1134694797 |
---|---|
Provider Name | Jessica Osuna-Peraza |
First Address | Santa Ana, CA 92705-7875 |
Second Address | Santa Ana, CA 92705-7875 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2018 |
Last Update Date | 17/04/2021 |