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Organization
PLAYBA
Active
Organization
PLAYBA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA SHAW M.S., BCBA (BCBA)
(860) 575-5338
Entity
Organization
Contact information
Practice address
4504 60TH ST UNIT 6, SAN DIEGO, CA 92115-5470
(860) 575-5338
Mailing address
4504 60TH ST UNIT 6, SAN DIEGO, CA 92115-5470
(860) 575-5338
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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