Most Relevant Information
Provider Data
| NPI Number: | 1003539115 |
| Provider Name: | JENNIFER MARGARET AW |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/22/2022 |
| Last Updated: | 09/22/2022 |
Provider Practice Location
1063 MCGAW AVE STE 100
IRVINE
CA
926145554
Practice Location Phone/Fax
| Phone: | 7148341111 |
| Fax: |
Provider Mailing Location
1063 MCGAW AVE STE 100
IRVINE
CA
926145554
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |