Individual
JULIANNE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
5500 NE 109TH CT STE A, VANCOUVER, WA 98662-6104
(800) 273-4292
(888) 293-3374
Mailing address
11037 WARNER AVE # 339, FOUNTAIN VALLEY, CA 92708-4007
(714) 848-8319
(714) 596-6274
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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