Jalessa Mabry

NPI #1265186605 in Clayton, Missouri

Provider Information

NPI Number: 1265186605
Entity Type: Individual
Name: Jalessa Mabry
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 4, 2022
Last Updated: Feb 4, 2022

Practice Location

Address: 7777 BONHOMME AVE STE 1800
City: Clayton
State: Missouri
ZIP Code: 63105-1931
Phone: (163) 620-2069

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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