Jacob Fermin Duenas

Individual provider Active NPI Behavior Technician · Oakley, CA

NPI 1013613652 · NPPES record last updated Feb 6, 2023

Key facts

NPI
1013613652
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
44 Stony Hill CT
Oakley, CA 94561-3127
Phone
(925) 698-6672
NPI assigned
Feb 6, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CA Yes

Addresses

Primary practice location

44 Stony Hill CT
Oakley, CA 94561-3127

Mailing address

44 Stony Hill CT
Oakley, CA 94561-3127
Phone (925) 698-6672

Other providers in Oakley, CA

All providers in Oakley, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.