Individual
JACQUELINE JADE CORTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 S ACADEMY BLVD STE 140, COLORADO SPRINGS, CO 80910-3922
(888) 754-0398
Mailing address
4304 INCHON CIR APT B, COLORADO SPRINGS, CO 80902-3491
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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