Individual
MADISON LYNN JAUREQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8910 UNIVERSITY CENTER LANE,, SUITE 400, SAN DIEGO, CA 92122
(844) 362-7943
Mailing address
989 ASHTON CT, VISTA, CA 92081
(951) 541-6773
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-23-14629
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/12/2019
Last updated
08/01/2023
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