Jacquelyn Nina Aguilera
Individual provider Active NPI Behavior Technician · Montclair, CA
NPI 1295293165 · NPPES record last updated Mar 8, 2019
Key facts
- NPI
- 1295293165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 4950 San Bernardino St Ste 101
Montclair, CA 91763-2328 - Phone
- (800) 249-1266
- NPI assigned
- Mar 8, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
4950 San Bernardino St Ste 101
Montclair, CA 91763-2328
Mailing address
1301 E Orangewood Ave
Anaheim, CA 92805-6807
Phone (800) 249-1266
Other providers in Montclair, CA
- Monica Agraz
- Stephani Aguiar
- Alina Aguilar
- Catherine Aguilar
- Isabel Mary Aguilar
- Brianna Aguirre
- Brittany Aguirre
- Kimberly Aguirre
- Maria E Aguirre
- Armaghan Ahmadi
All providers in Montclair, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.