Jaclyn Rae Perry

NPI #1487213153 in Tigard, Oregon

Provider Information

NPI Number: 1487213153
Entity Type: Individual
Name: Jaclyn Rae Perry
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jun 6, 2019
Last Updated: Jun 6, 2019

Practice Location

Address: 15298 SW ROYALTY PKWY # 300
City: Tigard
State: Oregon
ZIP Code: 97224-3904
Phone: (971) 256-4050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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