Most Relevant Information
Provider Data
| NPI Number: | 1003311804 |
| Provider Name: | JESENNIE SIEG |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/26/2018 |
| Last Updated: | 03/26/2018 |
Provider Practice Location
182 EL DORADO ST
MONTEREY
CA
939403118
Practice Location Phone/Fax
| Phone: | 8313751310 |
| Fax: |
Provider Mailing Location
2354 POWELL ST STE A
EMERYVILLE
CA
946081738
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |