Most Relevant Information
Provider Data
| NPI Number: | 1003448366 |
| Provider Name: | JAYLEN DEANDRE TREGLE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/05/2020 |
| Last Updated: | 02/05/2020 |
Provider Practice Location
216 CLEARPOINTE DR
VALLEJO
CA
945918285
Practice Location Phone/Fax
| Phone: | 7079804644 |
| Fax: |
Provider Mailing Location
216 CLEARPOINTE DR
VALLEJO
CA
945918285
Provider Mailing Phone/Fax
| Phone: | 7079804644 |
| Fax: |