Individual
JENNIFER MICHELLE MISIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3021 NE 72ND DR STE 9-333, VANCOUVER, WA 98661-7300
(971) 421-9103
Mailing address
3021 NE 72ND DR STE 9-333, VANCOUVER, WA 98661-7300
(971) 421-9103
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
08/30/2025
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