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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JARRED LAVELL BLAKELY

Active Sole Proprietor

JARRED LAVELL BLAKELY is a Behavior Technician healthcare provider located in STOCKTON, California. NPI 1952893422 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · STOCKTON, CA

Registration Details

NPI Number
1952893422
Provider Type
Individual
Gender
Male
NPI Issued
May 31, 2018 (8.0212441813727 yrs)
Last Updated
Jun 16, 2018
License
5439 (CA)
Sole Proprietor
Yes

Practice Information

Address
718 E 7TH ST
STOCKTON, CA, 952063213
Browse CA providers · Browse ZIP 95206
Phone
2094536903
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in STOCKTON, CA

Name Credential NPI
ELISSA MARIE REHN 1710221817
CANDICE GOODWIN 1568804474
KARINA MARIE LOPEZ 1194192104
JOHN TARAWALI 1912364316
ERIN WILLIAMS 1558714592
ANA BURTON 1144764226
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.