Jacqueline Colclough
Behavior Technician in Bronx, NY. Individual provider (NPI-1).
NPI number1982140398
StatusActive
Last updated in NPPESJan 9, 2017
Details
- NPI
- 1982140398
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Colclough
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 9, 2017
- Last updated
- Jan 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
329 E 149th St4th Fl
Bronx, NY 10451-5601
Phone 718-769-2698 · Fax 347-402-8192
Mailing address
329 E 149th St4th Fl
Bronx, NY 10451-5601
Phone 718-769-2698 · Fax 347-402-8192
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All 264 Behavior Technician providers in Bronx · All 38,045 providers in Bronx
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