Individual
JACQUELINE ISLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5540 N ACADEMY BLVD STE 160, COLORADO SPRINGS, CO 80918
(719) 477-9972
Mailing address
19253 E US HIGHWAY 24 UNIT 11, WOODLAND PARK, CO 80863-9193
(915) 479-1392
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
16-23390
—
Other
Enumeration date
12/26/2017
Last updated
08/14/2018
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