Jesli-Marie Keobunta Thongkham
Jesli-Marie Keobunta Thongkham is a Behavior Technician in Costa Mesa, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1520 Nutmeg Pl Ste 110Costa Mesa, CA 92626-2557
Phone: (818) 241-6780
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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 number | 1912514175 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 30, 2020 |
| Last updated in NPPES | September 30, 2020 |
| Certification date | September 25, 2020 |
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