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

Jaqueline Chagollan

Individual provider Behavior Technician · NPI 1043890908

Jaqueline Chagollan is a Behavior Technician in Chandler, Arizona. Licensed in Arizona. Registered with an NPI since 2021.

Licensed in
AZ
In the registry since
2021

Practice location Address checks out

3215 W Ray Rd
Chandler, AZ 85226-2425
Phone: (480) 701-3607
Fax: (480) 546-4198
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-21-151339 (AZ)

Record details

NPI number1043890908
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 13, 2021
Last updated in NPPESApril 13, 2021
Certification dateApril 13, 2021

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