Provider / Organization | NPI | Date Certified |
---|---|---|
JESSICA G TERRAZAS | 1366022758 | 2021-04-10 |
Jessica G Terrazas is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1366022758. Registration indicates Jessica G Terrazas 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 | Jessica G Terrazas |
Practice Office Address | 612 S. MYRTLE AVE SUITE 100 MONROVIA, CA US |
Practice Office Telephone | 0000000000 |
Mailing Address | 612 S MYRTLE AVE STE 100 MONROVIA, CA 910163406 US |
Code | Practice | License No State |
---|---|---|
106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |