Daejah Vicente

NPI #1013896141 in Columbus, Georgia

Provider Information

NPI Number: 1013896141
Entity Type: Individual
Name: Daejah Vicente
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 2, 2025
Last Updated: Sep 2, 2025

Practice Location

Address: 6100 VETERANS PKWY STE 11
City: Columbus
State: Georgia
ZIP Code: 31909-3514
Phone: (813) 438-6796

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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