Individual
JACQUES BOUBEKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BHT
Contact information
Practice address
9047 E MAYBERRY DR, TUCSON, AZ 85730
(520) 304-1401
(502) 546-7052
Mailing address
9047 E MAYBERRY DR, TUCSON, AZ 85730
(520) 304-1401
(520) 304-1401
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BH5165
AZ
Other
Enumeration date
08/21/2017
Last updated
07/21/2022
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