Most Relevant Information
Provider Data
| NPI Number: | 1003670928 |
| Provider Name: | JOLENE ROYSE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/12/2024 |
| Last Updated: | 02/12/2024 |
Provider Practice Location
1811 GRAND CANAL BLVD STE 2
STOCKTON
CA
952078107
Practice Location Phone/Fax
| Phone: | 8774182978 |
| Fax: | 8665002186 |
Provider Mailing Location
350 FAIRWAY DR STE 101
DEERFIELD BCH
FL
334411834
Provider Mailing Phone/Fax
| Phone: | 8774182978 |
| Fax: | 8665002186 |