Individual
JESSIE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.S, BCBA
Contact information
Practice address
2550 E GUADALUPE RD STE 107, GILBERT, AZ 85234-5114
(480) 847-8139
Mailing address
2550 E GUADALUPE RD STE 107, GILBERT, AZ 85234-5114
(480) 847-8139
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000168
AZ
103K00000X
Behavior Analyst
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Other
Enumeration date
02/17/2015
Last updated
10/14/2022
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