Christina Rae Jellison

NPI #1013619899 in Anoka, Minnesota

Provider Information

NPI Number: 1013619899
Entity Type: Individual
Name: Christina Rae Jellison
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 17, 2023
Last Updated: Mar 17, 2023

Practice Location

Address: 3401 ROUND LAKE BLVD NW
City: Anoka
State: Minnesota
ZIP Code: 55303-3315
Phone: (612) 509-7113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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