Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1013672211 |
---|---|
Provider Name | Ms. Alma Michelle Jerez |
First Address | Calexico, CA 92231-6929 |
Second Address | El Centro, CA 92243-1325 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2021 |
Last Update Date | 02/11/2021 |