Jessica Ann Main, RBT-18-61027

NPI #1518444330 in Commerce Twp, Michigan

Provider Information

NPI Number: 1518444330
Entity Type: Individual
Name: Jessica Ann Main, RBT-18-61027
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: RBT-18-61027
Enumeration Date: Jul 24, 2018
Last Updated: Jul 24, 2018

Practice Location

Address: 1900 VIKING CIR
City: Commerce Twp
State: Michigan
ZIP Code: 48390-1578
Phone: (248) 767-4846

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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