Individual
JESSICA GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
235 ST JOHN RD STE 50, FLETCHER, NC 28732-8334
(980) 785-1113
Mailing address
235 ST JOHN RD STE 50, FLETCHER, NC 28732-8334
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-23-65279
TN
103K00000X
Behavior Analyst
Primary
1265
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q083209
—
TN
Enumeration date
05/18/2020
Last updated
06/16/2026
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