Jessica N Petersen

NPI #1073380580 in Pooler, Georgia

Provider Information

NPI Number: 1073380580
Entity Type: Individual
Name: Jessica N Petersen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 5, 2023
Last Updated: Dec 5, 2023

Practice Location

Address: 100 COMMERCE CT
City: Pooler
State: Georgia
ZIP Code: 31322-9445
Phone: (615) 560-6622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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