Jessica Raelynn Petersen
NPI #1700582160 in Covington, Washington
Provider Information
- NPI Number
- 1700582160
- Entity Type
- Individual
- Name
- Jessica Raelynn Petersen
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Feb 6, 2023
- Last Updated
- Feb 6, 2023
Practice Location
- Address
- 27121 174TH PL SE STE 105
- City
- Covington
- State
- Washington
- ZIP Code
- 98042-4939
- Phone
- (425) 399-3245
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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