Individual
JENIKA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8910 NE HAZEL DELL AVE APT E103, VANCOUVER, WA 98665-8091
(360) 909-7782
Mailing address
8910 NE HAZEL DELL AVE APT E103, VANCOUVER, WA 98665-8091
(360) 909-7782
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
WA
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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