Jessica Marie Childress

NPI #1104393123 in North Pole, Alaska

Provider Information

NPI Number: 1104393123
Entity Type: Individual
Name: Jessica Marie Childress
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Oct 29, 2018
Last Updated: Oct 29, 2018

Practice Location

Address: 203 SANTA CLAUSE
City: North Pole
State: Alaska
ZIP Code: 99705
Phone: (469) 338-2901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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