Individual
JOCELYN MANCILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1380 112TH AVE NE STE 206, BELLEVUE, WA 98004-3759
(435) 754-5135
Mailing address
1380 112TH AVE NE STE 206, BELLEVUE, WA 98004-3759
(425) 754-5135
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
03/06/2018
Last updated
10/24/2023
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