Jorge Daniel Carrasquillo
Jorge Daniel Carrasquillo is a Behavior Technician in Petaluma, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
1301 Redwood Way Ste 210Petaluma, CA 94954-1107
Phone: (707) 806-9921
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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 RBT-19-77372 (CA) |
|---|
Record details
| NPI number | 1700570694 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 5, 2023 |
| Last updated in NPPES | June 5, 2023 |
| Certification date | June 5, 2023 |
| Mailing address | 2214 Versailles St, Santa Rosa, CA 95403-4212 |
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