Jacque Wiswell, BCBA

NPI #1669817060 in Sierra Madre, California

Provider Information

NPI Number: 1669817060
Entity Type: Individual
Name: Jacque Wiswell, BCBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Apr 30, 2013
Last Updated: Apr 30, 2013

Practice Location

Address: 370 W SIERRA MADRE BLVD
Address 2: SUITE B
City: Sierra Madre
State: California
ZIP Code: 91024-2354
Phone: (626) 355-5160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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