Most Relevant Information
Provider Data
NPI Number: | 1003503855 |
Provider Name: | JALEN CONTRERAS |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 04/21/2023 |
Last Updated: | 04/21/2023 |
Provider Practice Location
1944 EMBARCADERO
OAKLAND
CA
946065213
Practice Location Phone/Fax
Phone: | 3039898169 |
Fax: |
Provider Mailing Location
1944 EMBARCADERO
OAKLAND
CA
946065213
Provider Mailing Phone/Fax
Phone: | |
Fax: |