Individual
JESSE THOMAS PADILLA-GORYL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
2938 NORTH AVE STE A, GRAND JUNCTION, CO 81504-5797
(970) 200-3838
Mailing address
2938 NORTH AVE STE A, GRAND JUNCTION, CO 81504-5797
(970) 200-3838
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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