Individual
JESSICA MARCUZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7120 S 114TH STREET PLZ APT 307, LA VISTA, NE 68128-4792
(402) 266-6667
Mailing address
7120 S 114TH STREET PLZ APT 307, LA VISTA, NE 68128-4792
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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