Individual provider · Type 1 NPI

Tammy Ann Javonillo, LICENSED PSYCH TECH

Licensed Psychiatric Technician · Long Beach, CA

NPI number 1972794485 Active

Practice location

2600 Redondo Ave
Long Beach, CA 90806-2325

Call (562) 256-2900 Map

Fax (562) 290-0074

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Licensed Psychiatric Technician Primary 167G00000XPT34326 (CA)
Technician 374700000XNone listed

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 1972794485

Tammy Ann Javonillo, LICENSED PSYCH TECH's National Provider Identifier is 1972794485, issued on Aug 8, 2007. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Long Beach, CA. The record was last updated on Jun 9, 2021.