Individual
JACQUELINE OLIVEIRA GRIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
335 BENT CREEK LN, ORMOND BEACH, FL 32174-4877
(386) 868-9516
Mailing address
335 BENT CREEK LN, ORMOND BEACH, FL 32174-4877
(386) 868-9516
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/17/2017
Last updated
07/21/2022
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