Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jonathan Lee Trotter Sr., RADT

Individual provider Behavior Technician · NPI 1750041000

Mr. Jonathan Lee Trotter Sr., RADT is a Behavior Technician in Venice, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
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Practice location Address checks out

1421 Venice Blvd Apt 2
Venice, CA 90291-5060
Phone: (310) 801-7206
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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 R1398500720 (CA)

Record details

NPI number1750041000
Entity typeIndividual (Type 1)
GenderMale
Credentials RADT
Sole proprietorYes
NPI enumeratedDecember 28, 2021
Last updated in NPPESDecember 28, 2021
Certification dateDecember 28, 2021

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