Jazmin Cordova Kirksey
Individual provider Active NPI Behavior Technician · Highland, CA
NPI 1740096676 · NPPES record last updated Dec 5, 2024
Key facts
- NPI
- 1740096676
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 7231 Boulder Ave # 704
Highland, CA 92346-3313 - Phone
- (951) 223-5354
- NPI assigned
- Dec 5, 2024
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
7231 Boulder Ave # 704
Highland, CA 92346-3313
Mailing address
7231 Boulder Ave # 704
Highland, CA 92346-3313
Phone (951) 223-5354
Other providers in Highland, CA
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- Bradley A Cole
- Odeth Yadira Coloma
- Marc Kenneth Colunga
- Jan Louise Cooper
- Randall E Coriell
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- Costco Wholesale Corporation
- Lloyd Costello
All providers in Highland, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.