Jackeline De La Paz
Behavior Technician in Hialeah, FL. Individual provider (NPI-1).
NPI number1003548876
StatusActive
Last updated in NPPESJun 29, 2022
Details
- NPI
- 1003548876
- Entity type
- Individual (NPI-1)
- Name
- Jackeline De La Paz
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 29, 2022
- Certification date
- Jun 29, 2022
- Last updated
- Jun 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-20-126863 | FL | Yes |
Practice location
666 W 81st St Apt 421Hialeah, FL 33014-4148
Phone 786-663-3950
Mailing address
666 W 81st St Apt 421Hialeah, FL 33014-4148
Phone 786-663-3950
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