Individual
JEANETTE CHARGOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 421-9871
Mailing address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 421-9871
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
175T00000X
Peer Specialist
Primary
MPSS-SFTQCB
CA
Other
Enumeration date
11/07/2023
Last updated
08/11/2025
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