Individual
JOHNNY JAXX MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9620 CHESAPEAKE DR, SAN DIEGO, CA 92123-1369
(714) 834-1111
Mailing address
9620 CHESAPEAKE DR STE 105, SAN DIEGO, CA 92123-1324
(714) 834-1111
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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