Jacquelyn Revard
Behavior Analyst · Alta Loma, CA
NPI number
1700234044
Practice location
9586 Carrari CtAlta Loma, CA 91737-1607
- Phone
- (909) 210-1068
NPI record
- NPI
- 1700234044
- Entity type
- Individual (Type 1)
- Enumeration date
- May 26, 2016
- Last updated
- May 26, 2016
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X |
— | — |
About Jacquelyn Revard
Jacquelyn Revard is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 9586 Carrari Ct, Alta Loma, CA 91737-1607. The NPI number 1700234044 was assigned on May 26, 2016 and the record was last updated on May 26, 2016.
Frequently asked questions
What is the NPI number of Jacquelyn Revard?
The NPI number is 1700234044.
What is the phone number of Jacquelyn Revard?
The phone number listed for the practice location is (909) 210-1068.
Where is Jacquelyn Revard located?
9586 Carrari Ct, Alta Loma, CA 91737-1607.
What is the taxonomy code for Jacquelyn Revard?
The primary taxonomy code is 103K00000X – Behavior Analyst.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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