Individual
JESSICA LYNN HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W GEORGIA AVE, NAMPA, ID 83686-2835
(425) 368-3262
Mailing address
1111 W COLORADO AVE, NAMPA, ID 83686-8164
(208) 982-1571
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-226057
ID
Other
Enumeration date
05/31/2022
Last updated
01/30/2023
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