Healthcare Provider Details

I. General information

NPI: 1447160460
Provider Name (Legal Business Name): JENNA MARIE NAVARRO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 COLORADO AVE
TURLOCK CA
95382-2713
US

IV. Provider business mailing address

4053 LIMESTONE RD
TURLOCK CA
95382-7386
US

V. Phone/Fax

Practice location:
  • Phone: 800-510-1365
  • Fax:
Mailing address:
  • Phone: 209-535-3986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: