Individual provider · Type 1 NPI

Tisha Jenyo, LPT

Licensed Psychiatric Technician · Rialto, CA

NPI number 1508402371 Active

Practice location

850 E Foothill Blvd
Rialto, CA 92376-5230

Call (909) 421-4696 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X36906 (CA)

Licensed Psychiatric Technician: An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental dis…

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About NPI 1508402371

Tisha Jenyo, LPT's National Provider Identifier is 1508402371, issued on Nov 26, 2019. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Rialto, CA. The record was last updated on Jul 8, 2020.