Trace Jacquot

NPI #1174173371 in Bremerton, Washington

Provider Information

NPI Number: 1174173371
Entity Type: Individual
Name: Trace Jacquot
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 19, 2019
Last Updated: Sep 19, 2019

Practice Location

Address: 4171 WHEATON WAY STE 6
City: Bremerton
State: Washington
ZIP Code: 98310-3603
Phone: (360) 852-5991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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