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NPI Code Detail

MEDICARE: JENNY O'NEIL

MEDICARE: JENNY O'NEIL
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
1103K00000XBehavior Analyst1-16-22027CA

General Provider Information

NPI Number : 1891158846
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNY O'NEIL
Provider Business Mailing Address
First Line : 2730 SHADELANDS DR BLDG 10
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94598-2538
Country : US
Telephone Number : 925-266-8700
Fax Number :
Provider Business Practice Location Address
First Line : 2730 SHADELANDS DR BLDG 10
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94598-2538
Country : US
Telephone Number : 925-266-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2016
Last Update Date : 12/17/2025

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