Jacquelyn Haller
Behavior Technician in Antioch, CA. Individual provider (NPI-1).
NPI number1982241337
StatusActive
Last updated in NPPESDec 4, 2019
Details
- NPI
- 1982241337
- Entity type
- Individual (NPI-1)
- Name
- Jacquelyn Haller
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 4, 2019
- Last updated
- Dec 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2345 Cypress StAntioch, CA 94509-5247
Phone 925-852-3797
Mailing address
2345 Cypress StAntioch, CA 94509-5247
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