Jacklyn Toni Baltazar
Behavior Technician in Pasadena, CA. Individual provider (NPI-1).
NPI number1447902002
StatusActive
Last updated in NPPESJan 24, 2022
Details
- NPI
- 1447902002
- Entity type
- Individual (NPI-1)
- Name
- Jacklyn Toni Baltazar
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2022
- Certification date
- Jan 24, 2022
- Last updated
- Jan 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
50 N Hill Ave Ste 100Pasadena, CA 91106-1949
Phone 657-242-2079
Mailing address
50 N Hill Ave Ste 100Pasadena, CA 91106-1949
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