MRS. Jackie M Jaques

NPI #1619266152 in Kirkwood, Missouri

Provider Information

NPI Number: 1619266152
Entity Type: Individual
Name: MRS. Jackie M Jaques
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Apr 5, 2011
Last Updated: Apr 5, 2011

Practice Location

Address: 1008 PLAZA TER
City: Kirkwood
State: Missouri
ZIP Code: 63122-2449
Phone: (314) 909-9809

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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