Jasmin Iris Abarca Millan

Individual provider Active NPI Behavior Technician · Stockton, CA

NPI 1972201291 · NPPES record last updated Feb 16, 2023

Key facts

NPI
1972201291
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
7109 Danny Dr
Stockton, CA 95210-5320
Phone
(209) 957-7777
Fax
(209) 473-3344
NPI assigned
Feb 16, 2023
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 CA Yes

Addresses

Primary practice location

7109 Danny Dr
Stockton, CA 95210-5320

Mailing address

7109 Danny Dr
Stockton, CA 95210-5320
Phone (209) 957-7777

Other providers in Stockton, CA

All providers in Stockton, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.