Isnino Jelle
Behavior Technician in Saint Cloud, MN. Individual provider (NPI-1).
NPI number1457106981
StatusActive
Last updated in NPPESApr 18, 2024
Details
- NPI
- 1457106981
- Entity type
- Individual (NPI-1)
- Name
- Isnino Jelle
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 18, 2024
- Certification date
- Apr 18, 2024
- Last updated
- Apr 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1406 19th St SeSaint Cloud, MN 56304-4661
Phone 612-636-5139 · Fax 612-465-5056
Mailing address
1406 19th St SeSaint Cloud, MN 56304-4661
Phone 612-636-5139 · Fax 612-465-5056
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