Jessica Landis

NPI #1013401678 in Fairlawn, Ohio

Provider Information

NPI Number: 1013401678
Entity Type: Individual
Name: Jessica Landis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jun 18, 2018
Last Updated: Jul 24, 2018

Practice Location

Address: 3428 W MARKET ST
City: Fairlawn
State: Ohio
ZIP Code: 44333
Phone: (330) 668-4041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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