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NPI Code Detail

MEDICARE: JADE SERRANO

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
1106S00000XBehavior 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 : 3257 E GUASTI RD STE 210
Second Line :
City : ONTARIO
State : CA
Zip : 91761-1235
Country : US
Telephone Number : 866-727-8274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2025
Last Update Date : 03/13/2026

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Directions to “ JADE SERRANO ” Practice Location

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