MISS Jessica Isolina Benavides

NPI #1174293807 in Manassas Park, Virginia

Provider Information

NPI Number: 1174293807
Entity Type: Individual
Name: MISS Jessica Isolina Benavides
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 14, 2021
Last Updated: Sep 14, 2021

Practice Location

Address: 9406 SUNSET CT APT 327
City: Manassas Park
State: Virginia
ZIP Code: 20111-8296
Phone: (703) 881-6032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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