Jamie Yvonne Custodio
Behavior Technician · Eielson Afb, AK
Practice location
2462 Bald Eagle Ln Apt DEielson Afb, AK 99702-4007
- Phone
- (925) 305-6722
NPI record
- NPI
- 1205339470
- Entity type
- Individual (Type 1)
- Enumeration date
- March 14, 2018
- Last updated
- January 17, 2025
- Certified
- January 17, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Technician Primary | 106S00000X |
— | CA |
About Jamie Custodio
Jamie Yvonne Custodio is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 2462 Bald Eagle Ln Apt D, Eielson Afb, AK 99702-4007. The NPI number 1205339470 was assigned on March 14, 2018 and the record was last updated on January 17, 2025.
Frequently asked questions
What is the NPI number of Jamie Yvonne Custodio?
The NPI number is 1205339470.
What is the phone number of Jamie Custodio?
The phone number listed for the practice location is (925) 305-6722.
Where is Jamie Custodio located?
2462 Bald Eagle Ln Apt D, Eielson Afb, AK 99702-4007.
What is the taxonomy code for Jamie Custodio?
The primary taxonomy code is 106S00000X – Behavior Technician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.