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Jessica Edith Betancourt

Behavior Technician in Parkville, MO. Individual provider (NPI-1).

NPI number1912557828
StatusActive
Last updated in NPPESSep 13, 2019

Details

NPI
1912557828
Entity type
Individual (NPI-1)
Name
Ms. Jessica Edith Betancourt
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 13, 2019
Last updated
Sep 13, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

6330 Nw Kelly Dr Ste A
Parkville, MO 64152-4027

Phone 816-469-5162

Mailing address

103 Montrose St
Fort Leonard Wood, MO 65473-1261

Phone 360-402-9773

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Other Behavior Technician providers in Parkville, MO

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