Jacie Koontz

NPI #1295530558 in New Castle, Indiana

Provider Information

NPI Number: 1295530558
Entity Type: Individual
Name: Jacie Koontz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 19, 2025
Last Updated: Feb 19, 2025

Practice Location

Address: 151 WITTENBRAKER AVE
City: New Castle
State: Indiana
ZIP Code: 47362-5035
Phone: (574) 387-4313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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