JENESSA PROVENCE

Behavior Technician

NPI: 1942988332Individual

Specialties, Licenses & Credentials

Behavior TechnicianPrimary

Behavior Technician

Code: 106S00000X

RBT-23-281459(CA)

Contact & Hours

Address: 2445 TRUXTUN RD
SAN DIEGO, CA 92106
Phone: (619) 633-2119

Quick Facts

NPI: 1942988332
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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