Most Relevant Information
Provider Data
| NPI Number: | 1003353319 |
| Provider Name: | JACQUELYN CELESTINA VARGAS AMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/24/2017 |
| Last Updated: | 08/15/2022 |
Provider Practice Location
555 N PERRIS BLVD
PERRIS
CA
925712811
Practice Location Phone/Fax
| Phone: | 9514365366 |
| Fax: |
Provider Mailing Location
555 N PERRIS BLVD
PERRIS
CA
925712811
Provider Mailing Phone/Fax
| Phone: | 9514365366 |
| Fax: |