NPI 1619266152

Jackie M Jaques

Practitioner Behavior Analyst Kirkwood, MO

Practice location

Address: 1008 Plaza Ter, Kirkwood, MO 63122-2449
Phone: (314) 909-9809
Fax: (314) 909-1388

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1619266152
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Apr 2011
Record last updated: 5 Apr 2011

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.