Individual
JACINA JOY DEZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
554 PRONGHORN TRL STE A, BOZEMAN, MT 59718-6082
(406) 624-6669
Mailing address
708 BROADWATER AVE, BILLINGS, MT 59101-2710
(406) 259-1680
(406) 259-1777
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-83596
MT
Other
Enumeration date
11/09/2021
Last updated
09/03/2025
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