Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacquelyn Ravenden Feliciano

Individual provider Dance Therapist · NPI 1811510696

Jacquelyn Ravenden Feliciano is a Dance Therapist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

32 Union Sq E
New York, NY 10003-3209
Phone: (212) 678-0252
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dance Therapist (primary) Taxonomy 225600000X · Licence 002612 (NY)

Record details

NPI number1811510696
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 27, 2020
Last updated in NPPESNovember 22, 2021
Certification dateNovember 22, 2021

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