Jennifer Leigh Gross

NPI #1780195719 in Davenport, Iowa

Provider Information

NPI Number: 1780195719
Entity Type: Individual
Name: Jennifer Leigh Gross
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 17, 2017
Last Updated: Oct 17, 2017

Practice Location

Address: 4959 UTICA RIDGE RD
City: Davenport
State: Iowa
ZIP Code: 52807-3063
Phone: (888) 228-8476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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