Individual
JUANCHO MIGUEL SAN PEDRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
911 BERN CT STE 130, SAN JOSE, CA 95112-1242
(408) 437-8864
Mailing address
911 BERN CT STE 130, SAN JOSE, CA 95112-1242
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
05/04/2023
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