Individual
JESSICA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1860 W WINCHESTER RD, LIBERTYVILLE, IL 60048-5351
(847) 573-9486
Mailing address
970 E OAK ST, LAKE IN THE HILLS, IL 60156-6169
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
WI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/09/2022
Last updated
11/19/2024
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