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NPI Code Detail

MEDICARE: JAYLEANNE SERRANO

MEDICARE:   JAYLEANNE  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 TechnicianRBT-25-489879CA

General Provider Information

NPI Number : 1710847793
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYLEANNE SERRANO
Provider Business Mailing Address
First Line : 16255 VENTURA BLVD STE 900
Second Line :
City : ENCINO
State : CA
Zip : 91436-2317
Country : US
Telephone Number : 858-264-5858
Fax Number :
Provider Business Practice Location Address
First Line : 5143 D ST
Second Line :
City : CHINO
State : CA
Zip : 91710-4185
Country : US
Telephone Number : 858-264-5858
Fax Number : 858-649-6012
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2025
Last Update Date : 11/13/2025

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Directions to “ JAYLEANNE SERRANO ” Practice Location

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