Jasline Clauzel

Individual provider Active NPI Behavior Technician · Patterson, CA

NPI 1053906107 · NPPES record last updated Mar 1, 2021

Key facts

NPI
1053906107
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1404 Shearwater Dr
Patterson, CA 95363-8840
Phone
(209) 303-5277
NPI assigned
Mar 1, 2021
Sex
Female
Sole proprietor
Yes

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 Yes

Addresses

Primary practice location

1404 Shearwater Dr
Patterson, CA 95363-8840

Mailing address

1404 Shearwater Dr
Patterson, CA 95363-8840

Other providers in Patterson, CA

All providers in Patterson, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.