Jacqueline Louis
Behavior Technician in Baltimore, MD. Individual provider (NPI-1).
NPI number1699366161
StatusActive
Last updated in NPPESJan 28, 2021
Details
- NPI
- 1699366161
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Louis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 28, 2021
- Certification date
- Jan 28, 2021
- Last updated
- Jan 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
400 E Pratt StBaltimore, MD 21202-3116
Phone 866-586-4861
Mailing address
7574 Knightshayes DrManassas, VA 20111-2989
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