Jessica James Defore
NPI #1811467731 in Southaven, Mississippi
Provider Information
- NPI Number
- 1811467731
- Entity Type
- Individual
- Name
- Jessica James Defore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Dec 4, 2018
- Last Updated
- Sep 10, 2024
Practice Location
- Address
- 6858 SWINNEA RD BLDG 6B
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38671-9493
- Phone
- (662) 426-6136
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
| Behavior Analyst |
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