Jenena Jamila Staton
Jenena Jamila Staton is an Other Technician in Brentwood, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1191 Central Blvd Ste ABrentwood, CA 94513-2253
Phone: (855) 223-7123
Fax: (619) 550-6368
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|---|
| Other Technician | Taxonomy 247200000X (CA) |
Record details
| NPI number | 1184384265 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 30, 2021 |
| Last updated in NPPES | February 21, 2022 |
| Certification date | February 21, 2022 |
| Mailing address | 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 |
Other providers in Brentwood
-
Ana Marie Gamboa
1210 Central Blvd Ste A, Brentwood, CA 94513-2379 · (925) 809-6565