MEDICARE: JACQUELYN PIRA

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
1	103K00000X	Behavior Analyst	1-24-72899	CA

General Provider Information

NPI Number	:	1275303067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELYN PIRA

Provider Business Mailing Address
First Line	:	3542 SAN FRANCISCO ST
Second Line	:
City	:	MERCED
State	:	CA
Zip	:	95348-4802
Country	:	US
Telephone Number	:	209-600-1688
Fax Number	:

Provider Business Practice Location Address
First Line	:	3542 SAN FRANCISCO ST
Second Line	:
City	:	MERCED
State	:	CA
Zip	:	95348-4802
Country	:	US
Telephone Number	:	209-600-1688
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2024
Last Update Date	:	03/26/2026

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Directions to “ JACQUELYN PIRA ” Practice Location

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