Jacqueline Quitadamo
Behavior Technician in Ventura, CA. Individual provider (NPI-1).
NPI number1083263271
StatusActive
Last updated in NPPESSep 10, 2019
Details
- NPI
- 1083263271
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Quitadamo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2019
- Last updated
- Sep 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
10795 Acacia LnVentura, CA 93004-1811
Phone 818-903-8258
Mailing address
Po Box 663Lakeland, MI 48143-0663
Phone 810-559-2129
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