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NPI Code Detail

MEDICARE: MRS. JAMIE HAUSER NONE

MEDICARE: MRS. JAMIE HAUSER NONE
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 : 1750561692
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JAMIE HAUSER NONE
Provider Business Mailing Address
First Line : 18726 S WESTERN AVE STE 408
Second Line :
City : GARDENA
State : CA
Zip : 90248-3858
Country : US
Telephone Number : 310-856-0800
Fax Number : 855-568-2494
Provider Business Practice Location Address
First Line : 2155 CHICAGO AVE STE 203
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-2209
Country : US
Telephone Number : 951-357-6926
Fax Number : 855-568-2494
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2007
Last Update Date : 01/31/2022

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Directions to “ MRS. JAMIE HAUSER NONE” Practice Location

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