Individual provider · Type 1 NPI

Janessa Renee Bettencourt

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1932651569 Active

Practice location

329 E 149th St, 4th Floor
Bronx, NY 10451-5601

Fax (347) 402-8192

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Behavior Technician 106S00000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1932651569

Janessa Renee Bettencourt's National Provider Identifier is 1932651569, issued on Oct 31, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Nov 15, 2016.