Individual
JADE AMBER MICHELLE GJERSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 19TH AVE NW, CLINTON, IA 52732-2752
(574) 387-4313
Mailing address
1827 E IRELAND RD, SOUTH BEND, IN 46614-2845
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-433051
IA
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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