Provider Demographics
NPI:1457048431
Name:JALANDONI, ERICA
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:JALANDONI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24071 HOLLYOAK APT J
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-6974
Mailing Address - Country:US
Mailing Address - Phone:949-835-6001
Mailing Address - Fax:
Practice Address - Street 1:24071 HOLLYOAK APT J
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-6974
Practice Address - Country:US
Practice Address - Phone:949-835-6001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician