Jamie Cantor

Individual provider Active NPI Behavior Technician · Rio Linda, CA

NPI 1104358209 · NPPES record last updated Mar 29, 2017

Key facts

NPI
1104358209
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
7016 22ND St
Rio Linda, CA 95673-2718
Phone
(916) 661-0592
NPI assigned
Mar 29, 2017
Sex
Female
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 Yes

Addresses

Primary practice location

7016 22ND St
Rio Linda, CA 95673-2718

Mailing address

7016 22ND St
Rio Linda, CA 95673-2718
Phone (916) 661-0592

Other providers in Rio Linda, CA

All providers in Rio Linda, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.