Individual
JACEE GRACE HILLEGEIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6214 24TH AVE, BROOKLYN, NY 11204-3319
(718) 633-4411
Mailing address
209 E MAIN ST APT 402, BELOIT, KS 67420-3254
(785) 577-2279
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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