Jesse Lee Frick

NPI #1215443924 in Seymour, Indiana

Provider Information

NPI Number: 1215443924
Entity Type: Individual
Name: Jesse Lee Frick
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 18, 2017
Last Updated: Dec 18, 2017

Practice Location

Address: 322 DUPONT DR STE C
City: Seymour
State: Indiana
ZIP Code: 47274-1723
Phone: (812) 375-0625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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