Jessica Maree Gustafson

NPI #1093353302 in Spokane, Washington

Provider Information

NPI Number: 1093353302
Entity Type: Individual
Name: Jessica Maree Gustafson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 17, 2019
Last Updated: Jun 1, 2024

Practice Location

Address: 1722 E SPRAGUE AVE STE 214
City: Spokane
State: Washington
ZIP Code: 99202-3109
Phone: (509) 505-9614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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