Jack Connolly
Jack Connolly is a Behavior Technician in LA Mesa, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
4700 Spring StLA Mesa, CA 91942-0263
Phone: (619) 782-0700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-24-384528 (CA) |
|---|
Record details
| NPI number | 1063232130 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 14, 2024 |
| Last updated in NPPES | October 14, 2024 |
| Certification date | October 14, 2024 |
| Mailing address | 8030 La Mesa Blvd Ste 25, La Mesa, CA 91942-0335 |
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Noelia Nataly Carrillo
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