Individual
JENNA KAMAILE NURIAL DACALIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15620 YORK LANE, SELMA, TX 78154
(210) 441-2705
Mailing address
15620 YORK LANE, SELMA, TX 78154
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/15/2018
Last updated
04/30/2020
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