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

Individual provider Behavior Technician · NPI 1407583651

Jennifer Souvannasane is a Behavior Technician in Fresno, California. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

5968 E Via San Loppia Dr
Fresno, CA 93727-1001
Phone: (559) 647-5850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1407583651
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 6, 2022
Last updated in NPPESAugust 6, 2022
Certification dateAugust 5, 2022

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