Jessica Anne Fuqua

NPI #1629808878 in Cheney, Washington

Provider Information

NPI Number: 1629808878
Entity Type: Individual
Name: Jessica Anne Fuqua
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 2, 2024
Last Updated: Aug 2, 2024

Practice Location

Address: 800 W 1ST ST APT 4E
City: Cheney
State: Washington
ZIP Code: 99004-8993
Phone: (509) 847-9430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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