NPI 1003627860

Jestina Clark

Practitioner Behavior Technician San Ramon, CA

Practice location

Address: 110 Ryan Industrial CT STE 3&4, San Ramon, CA 94583-1592
Phone: (510) 315-6600

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in California →

Registry record

NPI: 1003627860
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jan 2025
Record last updated: 20 Jan 2025

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.