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Jezzarae Storm Carino

Behavior Technician in Winona, MN. Individual provider (NPI-1).

NPI number1003699232
StatusActive
Last updated in NPPESAug 14, 2023

Details

NPI
1003699232
Entity type
Individual (NPI-1)
Name
Jezzarae Storm Carino
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 14, 2023
Certification date
Aug 14, 2023
Last updated
Aug 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

223 Center St
Winona, MN 55987-3595

Phone 507-474-4840

Mailing address

14301 Ewing Ave S
Burnsville, MN 55306-4885

Phone 952-746-5350

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