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Individual

JACIEL BERNAL SANTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5710 DODD ST, JURUPA VALLEY, CA 91752-2307
(951) 347-7311
Mailing address
5710 DODD ST, JURUPA VALLEY, CA 91752-2307
(951) 347-7311

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
CA
2355S0801X
Speech-Language Assistant
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
235Z00000X
CA
Enumeration date
09/05/2023
Last updated
06/07/2026
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