Individual
JACQUELINE MARIE SANTIAGO OLIVEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
5257 BONAIRRE BLVD, ORLANDO, FL 32812-5363
(407) 493-8766
Mailing address
1909 DOVER CT, OLDSMAR, FL 34677-2503
(407) 493-8766
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
01/30/2025
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