Individual
JESSICA KAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8112 PAWTUCKET DR, HUNTINGTON BEACH, CA 92646-6734
(714) 552-1317
Mailing address
1524 PRISCILLA LN, NEWPORT BEACH, CA 92660-4439
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
472834265
MORNING STAR ABA THERAPY
—
Enumeration date
12/28/2017
Last updated
12/28/2017
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