Jack Peter Tiemessen, BHA

NPI #1457940181 in Juneau, Alaska

Provider Information

NPI Number: 1457940181
Entity Type: Individual
Name: Jack Peter Tiemessen, BHA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: BHA
Enumeration Date: Jan 17, 2021
Last Updated: Jan 17, 2021

Practice Location

Address: 401 8TH ST APT 206
City: Juneau
State: Alaska
ZIP Code: 99801-1002
Phone: (907) 903-0464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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