Individual
JAANAI NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 STATE ST STE G750, SALEM, OR 97301-7012
(855) 345-2273
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
00006779
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/25/2018
Last updated
01/21/2019
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