Individual
JACQUELYN MARLENE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5526 LEMON AVE, LONG BEACH, CA 90805-5440
(562) 728-7150
Mailing address
21515 HAWTHORNE BLVD, TORRANCE, CA 90503
(424) 571-2618
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
12046318
CA
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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