Individual
JESSICA INGERSOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
390 S LOWE AVE STE K, COOKEVILLE, TN 38501-4703
(888) 423-2559
Mailing address
5475 KNOLL PL, HIGHLANDS RANCH, CO 80130-8044
(888) 423-2559
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
822
TN
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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