Individual
JAIDENN VILLARREAL-GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
79 W FAIRMONT AVE, SAVANNAH, GA 31406
(912) 221-5250
Mailing address
100 TOWN CENTER DR APT 2104, SAVANNAH, GA 31405-9554
(912) 221-5250
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-499655
GA
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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