JARRED LAVELL BLAKELY

STOCKTON, CA
NPI1952893422
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: CA  5439)
Enumeration Date2018-05-31
Last Update Date2018-06-16
Business Address
JARRED LAVELL BLAKELY
718 E 7TH ST
STOCKTON, CA 95206-3213
Phone number: 209-453-6903
Mailing Address
JARRED LAVELL BLAKELY
718 E 7TH ST
STOCKTON, CA 95206-3213
Phone number: 209-453-6903
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