Jessica Harralston
NPI #1609368216 in House Springs, Missouri
Provider Information
- NPI Number
- 1609368216
- Entity Type
- Individual
- Name
- Jessica Harralston
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- May 31, 2018
- Last Updated
- May 31, 2018
Practice Location
- Address
- 4400 KENNERLY PARK RD
- City
- House Springs
- State
- Missouri
- ZIP Code
- 63051-4342
- Phone
- (636) 692-6831
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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