Flores, Jaclyn Elena

Flores, Jaclyn Elena is an sole proprietor health care provider with primary practice located at 7090 Miratech Dr , San Diego CA 92121-3109. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Flores, Jaclyn Elena can be contacted via phone (858) 304-6440.

Contact Information

Primary practice address
7090 Miratech Dr San Diego CA 92121-3109
Phone: (858) 304-6440
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X California
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X California
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-23-67513 California

Profile Details

NPI number 1225591951
LBN Legal business name Flores, Jaclyn Elena
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2019
Last updated Nov 3rd, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1225591951 NPPES
Other 680317191 MEDI-CAL

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