Jacquelyn Blanco
Behavior Technician in Torrance, CA. Individual provider (NPI-1).
NPI number1982145132
StatusActive
Last updated in NPPESMar 20, 2017
Details
- NPI
- 1982145132
- Entity type
- Individual (NPI-1)
- Name
- Jacquelyn Blanco
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2017
- Last updated
- Mar 20, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2909 Oregon CtA1
Torrance, CA 90503-2645
Phone 310-320-1333 · Fax 310-320-6555
Mailing address
2909 Oregon CtA1
Torrance, CA 90503-2645
Phone 310-320-1333 · Fax 310-320-6555
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