Most Relevant Information
Provider Data
| NPI Number: | 1003203175 |
| Provider Name: | JANA RACHEL GOLDBERG MA, BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/16/2015 |
| Last Updated: | 08/09/2023 |
Provider Practice Location
310 3RD AVE STE B8
CHULA VISTA
CA
919103990
Practice Location Phone/Fax
| Phone: | 8552237123 |
| Fax: | 6193747134 |
Provider Mailing Location
PO BOX 33568
SAN DIEGO
CA
921633568
Provider Mailing Phone/Fax
| Phone: | 8552237123 |
| Fax: | 6193747134 |