Individual
JENNIE MOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4096 SEA FOREST WAY, SACRAMENTO, CA 95823-6340
(714) 808-2831
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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