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

Jurisa Lina Prom

Individual provider Behavior Technician · NPI 1629739164

Jurisa Lina Prom is a Behavior Technician in Gilroy, California. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

7500 Arroyo Cir Ste 180
Gilroy, CA 95020-7339
Phone: (408) 859-6522
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1629739164
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 6, 2022
Last updated in NPPESJanuary 6, 2022
Certification dateJanuary 6, 2022

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