Individual
JENAE MICHELE DESOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 CLEAR CREEK RD STE 300, KILLEEN, TX 76549-4984
(254) 268-2112
Mailing address
2300 CLEAR CREEK RD STE 300, KILLEEN, TX 76549-4984
(254) 539-5039
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
8292
TX
Other
Enumeration date
04/23/2021
Last updated
11/19/2025
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