Jessica Bates

NPI #1962148049 in Jackson, Michigan

Provider Information

NPI Number: 1962148049
Entity Type: Individual
Name: Jessica Bates
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 11, 2022
Last Updated: May 11, 2022

Practice Location

Address: 1001 LAURENCE AVE STE E
City: Jackson
State: Michigan
ZIP Code: 49202-2980
Phone: (517) 750-4777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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