Individual
JACQUELINE RAE CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
18860 NORDHOFF ST, NORTHRIDGE, CA 91324-3811
(714) 856-8785
Mailing address
18860 NORDHOFF ST, NORTHRIDGE, CA 91324-3811
(714) 856-8785
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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