Individual
JAMAAL WAYNE DEAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12745 W CHARTER OAK RD, EL MIRAGE, AZ 85335-6285
(310) 654-5102
Mailing address
12745 W CHARTER OAK RD, EL MIRAGE, AZ 85335-6285
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/31/2026
Last updated
07/31/2026
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