Jersen Bradly Baltazar
Jersen Bradly Baltazar is a Behavior Technician in Brentwood, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
1210 Central Blvd Ste ABrentwood, CA 94513-2379
Phone: (925) 809-6565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (CA) |
|---|
Record details
| NPI number | 1487280244 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 12, 2020 |
| Last updated in NPPES | March 12, 2020 |
| Certification date | March 12, 2020 |
| Mailing address | 21600 Oxnard St Ste C1800, Woodland Hills, CA 91367-4976 |
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