Jacqualyn Powell

NPI #1528765070 in Otis, Kansas

Provider Information

NPI Number: 1528765070
Entity Type: Individual
Name: Jacqualyn Powell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 14, 2023
Last Updated: Feb 14, 2023

Practice Location

Address: 103 S 5TH ST
City: Otis
State: Kansas
ZIP Code: 67565-6010
Phone: (785) 735-4794

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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