Individual
JACQUELINE NICOLE DEVON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1449 37TH ST, BROOKLYN, NY 11218-4380
(877) 768-2221
Mailing address
2731 INGLEWOOD AVE, BALTIMORE, MD 21234-7628
(908) 303-3199
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA990
MD
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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