Most Relevant Information
Provider Data
| NPI Number: | 1003680620 |
| Provider Name: | JACQUELINE OCHOA JORDAN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/14/2023 |
| Last Updated: | 11/14/2023 |
Provider Practice Location
670 W HUBBARD ST STE 1
CHICAGO
IL
606545537
Practice Location Phone/Fax
| Phone: | 8442631613 |
| Fax: |
Provider Mailing Location
670 W HUBBARD ST STE 1
CHICAGO
IL
606545537
Provider Mailing Phone/Fax
| Phone: | 8442631613 |
| Fax: |