Most Relevant Information
Provider Data
NPI Number: | 1003563974 |
Provider Name: | KAI JADA MCMILLIAN |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 03/09/2022 |
Last Updated: | 03/09/2022 |
Provider Practice Location
877 YGNACIO VALLEY RD STE 100
WALNUT CREEK
CA
945963897
Practice Location Phone/Fax
Phone: | 9254823330 |
Fax: |
Provider Mailing Location
877 YGNACIO VALLEY RD STE 100
WALNUT CREEK
CA
945963897
Provider Mailing Phone/Fax
Phone: | 9254823330 |
Fax: |