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NPI Code Detail

MEDICARE: JACLYN QUIJANO

MEDICARE: JACLYN QUIJANO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1255282885
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACLYN QUIJANO
Provider Business Mailing Address
First Line : 5741 LAS VIRGENES RD STE A
Second Line :
City : CALABASAS
State : CA
Zip : 91302-1273
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5741 LAS VIRGENES RD UNIT 2
Second Line :
City : CALABASAS
State : CA
Zip : 91302-1272
Country : US
Telephone Number : 818-712-8250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ JACLYN QUIJANO ” Practice Location

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