| NPI | 1124689310 |
|---|---|
| Professional Name | JACKIE AVALOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2025-04-28 |