Individual
JACQUELINE BERLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
1926 VIA CTR STE B, VISTA, CA 92081-6056
(760) 294-1206
Mailing address
1926 VIA CTR, VISTA, CA 92081-6056
(760) 294-1206
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-14-5841
CA
Other
Enumeration date
12/19/2016
Last updated
10/15/2021
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