Bermudez Roque, Jacqueline

Bermudez Roque, Jacqueline is an individual health care provider with primary practice located at 4050 S Arizona Ave Ste L1 , Chandler AZ 85248-4599. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Bermudez Roque, Jacqueline can be contacted via phone (480) 812-2110.

Contact Information

Primary practice address
4050 S Arizona Ave Ste L1 Chandler AZ 85248-4599
Phone: (480) 812-2110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1952162521
LBN Legal business name Bermudez Roque, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2024
Last updated Jan 19th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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