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Individual
JESSICA KAPROCKI
Active
Individual
JESSICA KAPROCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSL, LBS
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005599
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15537332
CAQH
—
01
—
BH005599
STATE LICENSE
PA
Enumeration date
03/15/2022
Last updated
10/03/2022
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