Jacqueline Diaz De Leon
Behavior Technician in Hayward, CA. Individual provider (NPI-1).
NPI number1982244562
StatusActive
Last updated in NPPESJan 10, 2020
Details
- NPI
- 1982244562
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Diaz De Leon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2020
- Certification date
- Jan 10, 2020
- Last updated
- Jan 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1180 B StHayward, CA 94541-4202
Phone 925-239-9640
Mailing address
16782 Von Karman Ave Ste 11Irvine, CA 92606-2417
Phone 949-833-2237
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