Individual
JESSICA LYNN POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS RDCS, CCT, NREMT
Contact information
Practice address
3400 STATE ST STE 750, SALEM, OR 97301-5861
(971) 273-7502
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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