Stephanie Marie Humiwat Jessup
Stephanie Marie Humiwat Jessup is a Behavior Technician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2022.
- Licensed in
- OR
- In the registry since
- 2022
Practice location Address checks out
415 SE 108th AvePortland, OR 97216-3127
Phone: (916) 753-9211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence ABA-IN-10227793 (OR) |
|---|
Record details
| NPI number | 1790496784 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 9, 2022 |
| Last updated in NPPES | December 9, 2022 |
| Certification date | December 9, 2022 |
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