Jessica Michelle Edwards

NPI #1194329656 in Jonesboro, Georgia

Provider Information

NPI Number: 1194329656
Entity Type: Individual
Name: Jessica Michelle Edwards
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 25, 2020
Last Updated: Nov 25, 2020

Practice Location

Address: 772 POINTE SOUTH PKWY APT 903
City: Jonesboro
State: Georgia
ZIP Code: 30238-4395
Phone: (404) 510-2302

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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