Provider Demographics
NPI:1225563364
Name:NAJERA, JEANETTE (RBT)
Entity Type:Individual
Prefix:
First Name:JEANETTE
Middle Name:
Last Name:NAJERA
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 WHITEHALL DR APT 106
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-6627
Mailing Address - Country:US
Mailing Address - Phone:305-504-0461
Mailing Address - Fax:
Practice Address - Street 1:1514 WHITEHALL DR APT 106
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-6627
Practice Address - Country:US
Practice Address - Phone:305-504-0461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-26
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician