Jessica Bundy

NPI #1316484678 in Hagerman, New Mexico

Provider Information

NPI Number: 1316484678
Entity Type: Individual
Name: Jessica Bundy
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 25, 2017
Last Updated: Jan 25, 2017

Practice Location

Address: 221 W ARGYLE ST APT 14
City: Hagerman
State: New Mexico
ZIP Code: 88232-9407
Phone: (575) 513-5671

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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