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Organization
JABBERGYM, LLC
Active
Organization
JABBERGYM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN VIGIL (DIRECTOR OF RELATED SERVICES)
(916) 771-8255
Entity
Organization
Contact information
Practice address
4380 AUBURN BLVD, SACRAMENTO, CA 95841-4148
(916) 771-8255
(916) 771-8211
Mailing address
4380 AUBURN BLVD, SACRAMENTO, CA 95841-4148
(916) 771-8255
(916) 771-8211
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
12/01/2021
Last updated
09/13/2023
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