Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaqueline Angelica Bravo

Individual provider Behavior Technician · NPI 1407673700

Jaqueline Angelica Bravo is a Behavior Technician in Fountain Valley, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

16480 Harbor Blvd Ste 202
Fountain Valley, CA 92708-1361
Phone: (951) 317-5950
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1407673700
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 26, 2024
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 24, 2024

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