Individual
BRIAN A. JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. PSYCHOLOGY
Contact information
Practice address
31126 VARNI PL, UNION CITY, CA 94587-2638
(510) 610-0725
Mailing address
31126 VARNI PL, UNION CITY, CA 94587-2638
(510) 610-0725
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22767
CA
Other
Enumeration date
12/01/2014
Last updated
07/04/2016
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