Most Relevant Information
Provider Data
| NPI Number: | 1003548876 |
| Provider Name: | JACKELINE DE LA PAZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-20-126863 |
Most Important Dates
| Enumeration Date: | 06/29/2022 |
| Last Updated: | 06/29/2022 |
Provider Practice Location
666 W 81ST ST APT 421
HIALEAH
FL
330144148
Practice Location Phone/Fax
| Phone: | 7866633950 |
| Fax: |
Provider Mailing Location
666 W 81ST ST APT 421
HIALEAH
FL
330144148
Provider Mailing Phone/Fax
| Phone: | 7866633950 |
| Fax: |