Jenna Williams
Behavior Technician in Rochester, MN. Individual provider (NPI-1).
NPI number1407586860
StatusActive
Last updated in NPPESJun 16, 2022
Details
- NPI
- 1407586860
- Entity type
- Individual (NPI-1)
- Name
- Jenna Williams
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2022
- Certification date
- Jun 16, 2022
- Last updated
- Jun 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
124 Elton Hills Ln NwRochester, MN 55901-3577
Phone 507-405-2261
Mailing address
1909 49 1/2 St NwRochester, MN 55901-2054
Phone 507-993-0606
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