Individual
JESSA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1000 SUNNYSIDE AVE, LAWRENCE, KS 66045-7599
(785) 864-4840
Mailing address
1000 SUNNYSIDE AVE, LAWRENCE, KS 66045-7599
(785) 864-4840
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
21-154482
KS
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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