Jacquelyn Chinchilla
Behavior Technician in Gardena, CA. Individual provider (NPI-1).
NPI number1245926302
StatusActive
Last updated in NPPESApr 12, 2023
Details
- NPI
- 1245926302
- Entity type
- Individual (NPI-1)
- Name
- Jacquelyn Chinchilla
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2023
- Certification date
- Apr 12, 2023
- Last updated
- Apr 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1149 W 190th StGardena, CA 90248-4321
Phone 310-856-0800 · Fax 855-568-2494
Mailing address
1149 W 190th StGardena, CA 90248-4321
Phone 310-856-0800 · Fax 855-568-2494
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