Individual
JESSICA SPINKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
564 ROSEWOOD AVE, CAMARILLO, CA 93010-5919
(619) 695-8118
Mailing address
564 ROSEWOOD AVE, CAMARILLO, CA 93010-5919
(619) 695-8118
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F1436400
DRIVER LICENSE
CA
Enumeration date
05/09/2019
Last updated
05/09/2019
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