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Jacqueline Brito

Behavior Technician in Westerville, OH. Individual provider (NPI-1).

NPI number1982199279
StatusActive
Last updated in NPPESFeb 20, 2019

Details

NPI
1982199279
Entity type
Individual (NPI-1)
Name
Jacqueline Brito
Sex
Female
Sole proprietor
No
Enumeration date
Jun 28, 2018
Last updated
Feb 20, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

187 W Schrock Rd
Westerville, OH 43081-2890

Phone 614-355-7500 · Fax 614-355-7533

Mailing address

Dept 781625
P.O. Box 78000
Detroit, MI 48278-1625

Phone 614-355-8004 · Fax 614-355-2220

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