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Organization

JBA INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANET YI M.S., B.C.B.A. (DIRECTOR)
(949) 362-9952
Entity
Organization

Contact information

Practice address
65 ENTERPRISE, ALISO VIEJO, CA 92656-2601
(949) 362-9952
(949) 362-2783
Mailing address
65 ENTERPRISE, ALISO VIEJO, CA 92656-2601

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1A-19-321
CA

Other

Enumeration date
02/10/2009
Last updated
02/10/2009
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