Provider Demographics
NPI:1578379053
Name:NAIA, JADYN CHRISTINE
Entity type:Individual
Prefix:
First Name:JADYN
Middle Name:CHRISTINE
Last Name:NAIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3111 N TUSTIN ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92865-1750
Mailing Address - Country:US
Mailing Address - Phone:657-202-6464
Mailing Address - Fax:
Practice Address - Street 1:1320 WARREN ST
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-3641
Practice Address - Country:US
Practice Address - Phone:805-298-9309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician