Jessica Bain

NPI #1356905202 in Lockport, Illinois

Provider Information

NPI Number: 1356905202
Entity Type: Individual
Name: Jessica Bain
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 25, 2019
Last Updated: Apr 25, 2019

Practice Location

Address: 19208 JOHN KIRKHAM DR
City: Lockport
State: Illinois
ZIP Code: 60446-3556
Phone: (847) 306-9843

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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