Whalio Doctors

NPI 1003322645

Michele Jezek

Practitioner Behavior Technician Monument, CO

Practice location

Address
590 W Highway 105 STE 105, Monument, CO 80132-9125
Phone
(719) 649-5037

Registered specialties

Behavior Technician Primary
Behavioral Health & Social Service Providers Taxonomy 106S00000X

Registry record

NPI
1003322645
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Dec 2017
Record last updated
19 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.