Individual
JAID URNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1330 OAKRIDGE DR UNIT 105, FORT COLLINS, CO 80525-9651
(866) 523-4298
Mailing address
PO BOX 399318, SAN FRANCISCO, CA 94139-9318
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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