Jessica Wellnitz

NPI #1184361842 in Hermantown, Minnesota

Provider Information

NPI Number: 1184361842
Entity Type: Individual
Name: Jessica Wellnitz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 15, 2022
Last Updated: May 15, 2022

Practice Location

Address: 4140 RICHARD AVE STE 200&300
City: Hermantown
State: Minnesota
ZIP Code: 55811-2869
Phone: (218) 514-5230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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