STEPHANIE MARIE HUMIWAT JESSUP

PORTLAND, OR
NPI1790496784
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: OR  ABA-IN-10227793)
Enumeration Date2022-12-09
Last Update Date2022-12-09
Business Address
STEPHANIE MARIE HUMIWAT JESSUP
415 SE 108TH AVE
PORTLAND, OR 97216-3127
Phone number: 916-753-9211
Mailing Address
STEPHANIE MARIE HUMIWAT JESSUP
415 SE 108TH AVE
PORTLAND, OR 97216-3127
Phone number: 916-753-9211
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