Jacqueline Licea
Jacqueline Licea is a Behavior Technician in Fremont, California. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
39210 State St Ste #100Fremont, CA 94538
Phone: (510) 439-0657
Fax: (510) 439-0658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1922967900 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 16, 2026 |
| Last updated in NPPES | January 16, 2026 |
| Certification date | January 16, 2026 |
| Mailing address | 39210 State Street, Suite #100, Fremont, CA 94538 |
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