NPI 1003699232

Jezzarae Storm Carino

Practitioner Behavior Technician Winona, MN

Practice location

Address: 223 Center St, Winona, MN 55987-3595
Phone: (507) 474-4840
Mailing address: 14301 Ewing Ave S, Burnsville, MN 55306-4885

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003699232
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Aug 2023
Record last updated: 14 Aug 2023

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.