Individual
MRS. JESSICA ROSE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
10926 S TRYON ST, CHARLOTTE, NC 28273-4153
(855) 201-5498
Mailing address
10926 S TRYON ST, CHARLOTTE, NC 28273-4153
(855) 201-5498
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
8067
NC
Other
Enumeration date
04/14/2016
Last updated
06/28/2019
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