Individual
JESSICA JADE BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3115 N COLLEGE AVE STE 108, FAYETTEVILLE, AR 72703-3506
(479) 957-9121
Mailing address
7500 SAN FELIPE ST STE 990, HOUSTON, TX 77063-1708
(866) 610-0580
(866) 611-1558
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/22/2025
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