Most Relevant Information
Provider Data
| NPI Number: | 1003585779 |
| Provider Name: | LEILA ANNE JAMASBI |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | 46-1305562 |
Most Important Dates
| Enumeration Date: | 09/07/2021 |
| Last Updated: | 09/07/2021 |
Provider Practice Location
39210 STATE ST STE 204
FREMONT
CA
945381456
Practice Location Phone/Fax
| Phone: | 5108944135 |
| Fax: |
Provider Mailing Location
50 MARGARITA DR
SAN RAFAEL
CA
949012360
Provider Mailing Phone/Fax
| Phone: | 4152617367 |
| Fax: |