NPI 1003375643
Jazmyne Macedo
Practice location
- Address
- 1630 E Shaw Ave STE 190, Fresno, CA 93710-8114
- Phone
- (559) 492-7900
- Mailing address
- 5132 N Palm Ave, Fresno, CA 93704-2236
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1003375643
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Mar 2019
- Record last updated
- 13 Mar 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.