Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003306457 |
---|---|
Provider Name | Jitenderjit Kaur |
First Address | Pleasanton, CA 94588-3347 |
Second Address | Fresno, CA 93710-6848 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2018 |
Last Update Date | 11/05/2018 |