MS. Jenessa Rae Provence
MS. Jenessa Rae Provence is a Behavior Technician in San Diego, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
2445 Truxtun RdSan Diego, CA 92106-6153
Phone: (619) 633-2119
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-23-281459 (CA) |
|---|
Record details
| NPI number | 1942988332 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 6, 2023 |
| Last updated in NPPES | July 6, 2023 |
| Certification date | July 6, 2023 |
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