Provider Demographics
NPI:1780912949
Name:BARRIONUEVO, JAQUELINE
Entity type:Individual
Prefix:MRS
First Name:JAQUELINE
Middle Name:
Last Name:BARRIONUEVO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:J. BARRIONUEVO
Other - Middle Name:DBA
Other - Last Name:ESSENTIAL STEPS THERAPY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10350 W BAY HARBOR DR APT 4J
Mailing Address - Street 2:
Mailing Address - City:BAY HARBOR ISLANDS
Mailing Address - State:FL
Mailing Address - Zip Code:33154-1236
Mailing Address - Country:US
Mailing Address - Phone:786-351-0908
Mailing Address - Fax:
Practice Address - Street 1:10350 W BAY HARBOR DR APT 4J
Practice Address - Street 2:
Practice Address - City:BAY HARBOR ISLANDS
Practice Address - State:FL
Practice Address - Zip Code:33154-1236
Practice Address - Country:US
Practice Address - Phone:786-351-0908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-30
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor