Most Relevant Information
Provider Data
| NPI Number: | 1003654336 |
| Provider Name: | PAULINA JACQUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-24-361780 |
Most Important Dates
| Enumeration Date: | 07/19/2024 |
| Last Updated: | 07/19/2024 |
Provider Practice Location
21000 N PIMA RD
SCOTTSDALE
AZ
852556665
Practice Location Phone/Fax
| Phone: | 4805353828 |
| Fax: |
Provider Mailing Location
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS
IN
462686135
Provider Mailing Phone/Fax
| Phone: | 8553240885 |
| Fax: | 3175208200 |