Maryellie Jacquez

NPI #1124519335 in Colton, California

Provider Information

NPI Number: 1124519335
Entity Type: Individual
Name: Maryellie Jacquez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: May 23, 2018
Last Updated: Dec 5, 2025

Practice Location

Address: 301 S LA CADENA DR
City: Colton
State: California
ZIP Code: 92324-3419
Phone: (909) 219-5260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary
Community Health Worker	172V00000X

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