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Jessika Hada Camacho

Behavior Technician in San Mateo, CA. Individual provider (NPI-1).

NPI number1366118317
StatusActive
Last updated in NPPESAug 19, 2021

Details

NPI
1366118317
Entity type
Individual (NPI-1)
Name
Jessika Hada Camacho
Sex
Female
Sole proprietor
No
Enumeration date
Aug 19, 2021
Certification date
Aug 19, 2021
Last updated
Aug 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1720 S Amphlett Blvd Ste 110
San Mateo, CA 94402-2710

Phone 650-436-3789

Mailing address

1720 S Amphlett Blvd Ste 110
San Mateo, CA 94402-2710

Phone 650-436-3789

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