Most Relevant Information
Provider Data
| NPI Number: | 1003374257 |
| Provider Name: | KEVIN JURUPE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/06/2019 |
| Last Updated: | 03/06/2019 |
Provider Practice Location
2630 W RUMBLE RD
MODESTO
CA
953500155
Practice Location Phone/Fax
| Phone: | 2092222378 |
| Fax: |
Provider Mailing Location
2630 W RUMBLE RD
MODESTO
CA
953500155
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |