Individual
JACEY FELZIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 CHIKAMIN LOOP, SILVERTON, OR 97381-1895
(971) 302-8301
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10251448
OR
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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