MEDICARE: JADE SERRANO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1578352993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JADE SERRANO

Provider Business Mailing Address
First Line	:	5384 CORISON WAY
Second Line	:
City	:	FONTANA
State	:	CA
Zip	:	92336-5995
Country	:	US
Telephone Number	:	866-727-8274
Fax Number	:

Provider Business Practice Location Address
First Line	:	31 RANCHO CAMINO DR FL 2
Second Line	:
City	:	POMONA
State	:	CA
Zip	:	91766-7030
Country	:	US
Telephone Number	:	909-634-3974
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2025
Last Update Date	:	01/23/2026

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Directions to “ JADE SERRANO ” Practice Location

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