Jessica Damyanti Mahabali
Jessica Damyanti Mahabali is a Behavior Technician in Fremont, California. Licensed in California. Registered with an NPI since 2019.
- Licensed in
- CA
- In the registry since
- 2019
Practice location Address checks out
39210 State St Ste 220Fremont, CA 94538-1456
Phone: (510) 894-4135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence 461305562 (CA) |
|---|
Record details
| NPI number | 1811547086 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 18, 2019 |
| Last updated in NPPES | September 18, 2019 |
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