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Individual
JACLYN ELENA FLORES
Active
Individual
JACLYN ELENA FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-67513
CA
106E00000X
Assistant Behavior Analyst
—
CA
106S00000X
Behavior Technician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680317191
MEDI-CAL
—
Enumeration date
04/10/2019
Last updated
11/03/2023
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