Jazmin Lee Leos

Individual provider Active NPI Behavior Technician · Williams, CA

NPI 1821697673 · NPPES record last updated Oct 22, 2020

Key facts

NPI
1821697673
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
210 10TH Street
Williams, CA 95987
Phone
(530) 531-7827
NPI assigned
Oct 22, 2020
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

210 10TH Street
Williams, CA 95987

Mailing address

990 Klamath LN Ste 20
Yuba City, CA 95993-8979
Phone (916) 729-3098

Other providers in Williams, CA

All providers in Williams, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.