Individual
JESSICA MONGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA 1-19-35542
Contact information
Practice address
421 FAYETTEVILLE ST STE 1100, RALEIGH, NC 27601-3000
(815) 793-2175
Mailing address
6433 ELEVATE CIR, CARY, NC 27513-2099
(815) 793-2175
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35542
IL
Other
Enumeration date
05/04/2018
Last updated
09/27/2021
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