Provider / Organization | NPI | Date Certified |
---|---|---|
THERESA O'BRIEN JETHANI | 1316421613 | 2024-10-13 |
Theresa O'brien Jethani is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1316421613. Registration indicates Theresa O'brien Jethani is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
Entity Type | Individual |
Provider Name | Theresa O'brien Jethani RBT |
Other Provider Name | Theresa Marie O'brien |
Practice Office Address | 172 SANTA CRUZ RDG LOS GATOS, CA US |
Practice Office Telephone | 6055194000 |
Mailing Address | 172 SANTA CRUZ RDG LOS GATOS, CA 950339048 US |
Business Telephone | 6055194000 |
Code | Practice | License No State |
---|---|---|
106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |
CA |