Jessica Tlacuatl
Behavior Technician in Brooklyn, NY. Individual provider (NPI-1).
NPI number1902655855
StatusActive
Last updated in NPPESMay 14, 2024
Details
- NPI
- 1902655855
- Entity type
- Individual (NPI-1)
- Name
- Jessica Tlacuatl
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 14, 2024
- Certification date
- May 14, 2024
- Last updated
- May 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
6214 24th AveBrooklyn, NY 11204-3319
Phone 212-481-4040
Mailing address
6214 24th AveBrooklyn, NY 11204-3319
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