| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LUISA JACQUELINE AGUAYO | 1902533102 | 2022-08-07 |
Luisa Jacqueline Aguayo is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1902533102. Registration indicates Luisa Jacqueline Aguayo is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Luisa Jacqueline Aguayo |
| Practice Office Address | 18055 KIMBERLY SUE CT LAKE ELSINORE, CA US |
| Practice Office Telephone | 9513068341 |
| Mailing Address | 5850 GRANITE PKWY STE 600 PLANO, TX 750246753 US |
| Business Telephone | 8183452345 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |