Provider Demographics
NPI:1679240378
Name:QUINTANA CALA, JESSICA (BCBA)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:QUINTANA CALA
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2739 WOODRUFF DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-6403
Mailing Address - Country:US
Mailing Address - Phone:737-333-0602
Mailing Address - Fax:407-307-2328
Practice Address - Street 1:2739 WOODRUFF DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-6403
Practice Address - Country:US
Practice Address - Phone:737-333-0602
Practice Address - Fax:407-307-2328
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-30
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst