Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jamie Yvonne Custodio

Individual provider Behavior Technician · NPI 1205339470

Jamie Yvonne Custodio is a Behavior Technician in Eielson AFB, Alaska. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018

Practice location Address checks out

2462 Bald Eagle Ln Apt D
Eielson AFB, AK 99702-4007
Phone: (925) 305-6722
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1205339470
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 14, 2018
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 17, 2025