IndividualActive
Jaqueline Chagollan
NPI 1043890908 · Behavior Technician · Chandler, AZ
Jaqueline Chagollan is a Behavior Technician provider in Chandler, AZ (NPI 1043890908).
Provider details
- NPI number
- 1043890908
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-21-151339 (AZ)
Practice location
3215 W Ray Rd
Chandler, AZ 85226-2425
Phone: (480) 701-3607
Fax: (480) 546-4198
Street-level locationGet directions
Mailing address
3215 W Ray Rd
Chandler, AZ 85226-2425
Registry dates
- Enumerated
- 2021-04-13
- Last updated
- 2021-04-13
- Certified
- 2021-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.