Individual
JADYN BILTZ BACAOCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1771 E FLAMINGO RD STE 220A, LAS VEGAS, NV 89119-0850
(702) 560-2217
Mailing address
1157 HITCHING POST LN, CHULA VISTA, CA 91915-1529
(858) 722-3409
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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