Jessica Corinne Monroe

NPI #1912514340 in Wasilla, Alaska

Provider Information

NPI Number: 1912514340
Entity Type: Individual
Name: Jessica Corinne Monroe
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 29, 2020
Last Updated: Sep 29, 2020

Practice Location

Address: 777 N CRUSEY ST STE B108
City: Wasilla
State: Alaska
ZIP Code: 99654-7101
Phone: (907) 414-9554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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