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

Melena Jade Debra Jacquez

Individual provider Behavior Technician · NPI 1114802899

Melena Jade Debra Jacquez is a Behavior Technician in Clarkston, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

6510 Town Center Dr Ste E
Clarkston, MI 48346-4822
Phone: (248) 965-0417
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 number1114802899
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 11, 2025
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025
Mailing address1500 S Douglas Rd Ste 230, Coral Gables, FL 33134-4108

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