Kailey Nicole Jacques
NPI #1053047134 in Roseville, California
Provider Information
- NPI Number
- 1053047134
- Entity Type
- Individual
- Name
- Kailey Nicole Jacques
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jul 29, 2022
- Last Updated
- Jul 29, 2022
Practice Location
- Address
- 1358 BLUE OAKS BLVD
- City
- Roseville
- State
- California
- ZIP Code
- 95678-7040
- Phone
- (916) 751-0838
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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