Jacquelynn Dior Pana

NPI #1255998480 in Los Alamos, New Mexico

Provider Information

NPI Number: 1255998480
Entity Type: Individual
Name: Jacquelynn Dior Pana
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 23, 2019
Last Updated: May 23, 2019

Practice Location

Address: 1350 CENTRAL AVE STE 102
City: Los Alamos
State: New Mexico
ZIP Code: 87544-3218
Phone: (505) 551-1241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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