NPI 1003599515

Jackel Agboola, MA

Practitioner Behavior Technician Houston, TX

Practice location

Address: 700 Milam St STE 1300, Houston, TX 77002-2736
Phone: (877) 418-2978
Mailing address: 350 Fairway Dr STE 101, Deerfield Beach, FL 33441-1834

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003599515
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Aug 2023
Record last updated: 10 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.