Jaclyn Nicole Brooks, MS, LBA, BCBA

NPI #1306327416 in Lebanon, Oregon

Provider Information

NPI Number: 1306327416
Entity Type: Individual
Name: Jaclyn Nicole Brooks, MS, LBA, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: MS, LBA, BCBA
Enumeration Date: Aug 27, 2018
Last Updated: Oct 19, 2023

Practice Location

Address: 1600 S MAIN ST
City: Lebanon
State: Oregon
ZIP Code: 97355-3109
Phone: (541) 915-0787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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