Jerusela Teja Lachelle Houston

NPI #1508580374 in Federal Way, Washington

Provider Information

NPI Number: 1508580374
Entity Type: Individual
Name: Jerusela Teja Lachelle Houston
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 26, 2022
Last Updated: Sep 26, 2022

Practice Location

Address: 720 S 333RD ST STE 130
City: Federal Way
State: Washington
ZIP Code: 98003-7357
Phone: (253) 766-5156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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