Jacqueline Claire Fontenot

NPI #1023625365 in Cerritos, California

Provider Information

NPI Number: 1023625365
Entity Type: Individual
Name: Jacqueline Claire Fontenot
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 30, 2020
Last Updated: Sep 30, 2020

Practice Location

Address: 16410 BLOOMFIELD AVE STE B
City: Cerritos
State: California
ZIP Code: 90703-2144
Phone: (562) 760-4429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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