Individual
AMANDA JACQUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
27720 JEFFERSON AVE, SUITE 150, TEMECULA, CA 92590-2610
(951) 699-8640
(951) 699-8650
Mailing address
21600 OXNARD ST, SUITE 1800, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
(818) 449-0994
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25364
CA
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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