Provider Demographics
NPI:1750550802
Name:CURRIE, JAMIE LUCIANA (EDDC, LMFT, BCBA)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:LUCIANA
Last Name:CURRIE
Suffix:
Gender:F
Credentials:EDDC, LMFT, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1787 E ROUTE 66
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-3813
Mailing Address - Country:US
Mailing Address - Phone:909-265-2086
Mailing Address - Fax:
Practice Address - Street 1:1787 E ROUTE 66
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-3813
Practice Address - Country:US
Practice Address - Phone:909-265-2086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-22
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44290106H00000X
CA12368124103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA44290OtherLMFT
CA12368124OtherBCBA