Individual
MIKAELA JAIDE HIPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
631 RIVER OAKS PKWY, SAN JOSE, CA 95134-1907
(408) 914-7478
Mailing address
3485 GAMAY CT, SAN JOSE, CA 95148-1303
(406) 386-7190
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
Other
Enumeration date
10/06/2018
Last updated
12/11/2025
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