Jessie Ivette De Jesus Baez
Behavior Technician in Saint Cloud, FL. Individual provider (NPI-1).
NPI number1164098042
StatusActive
Last updated in NPPESJun 1, 2021
Details
- NPI
- 1164098042
- Entity type
- Individual (NPI-1)
- Name
- Jessie Ivette De Jesus Baez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 1, 2021
- Certification date
- Jun 1, 2021
- Last updated
- Jun 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3201 Budinger AveSaint Cloud, FL 34769-7203
Phone 413-459-7043
Mailing address
680 Woodland Creek BlvdKissimmee, FL 34744-1110
Phone 413-459-7043
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