Jessica Marie Consla

NPI #1295298867 in Clackamas, Oregon

Provider Information

NPI Number: 1295298867
Entity Type: Individual
Name: Jessica Marie Consla
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 10, 2019
Last Updated: Apr 10, 2019

Practice Location

Address: 12901 SE 97TH AVE STE 180
City: Clackamas
State: Oregon
ZIP Code: 97015-7903
Phone: (971) 206-6337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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