Campos, Jacqueline Rae

Campos, Jacqueline Rae is an individual health care provider with primary practice located at 18860 Nordhoff St , Northridge CA 91324-3811. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Campos, Jacqueline Rae can be contacted via phone (714) 856-8785.

Contact Information

Primary practice address
18860 Nordhoff St Northridge CA 91324-3811
Phone: (714) 856-8785
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1770168007
LBN Legal business name Campos, Jacqueline Rae
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2021
Last updated Mar 17th, 2021 - about 3 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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