Jacob Nikolas De La Rosa

NPI #1073391165 in Cypress, California

Provider Information

NPI Number: 1073391165
Entity Type: Individual
Name: Jacob Nikolas De La Rosa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 19, 2023
Last Updated: Sep 19, 2023

Practice Location

Address: 5252 ORANGE AVE STE 109
City: Cypress
State: California
ZIP Code: 90630-2967
Phone: (657) 213-0199

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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