Individual
MS. JESSICA COLLANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
3761 E 8TH AVE, HIALEAH, FL 33013-2838
(786) 499-2716
Mailing address
3761 E 8TH AVE, HIALEAH, FL 33013-2838
(786) 499-2716
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-17-7778
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104813300
—
FL
Enumeration date
06/02/2016
Last updated
03/31/2022
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