Individual
JESSICA DANIELLE AIKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1050 N 3RD ST STE I, LARAMIE, WY 82072-2543
(307) 212-3284
Mailing address
P.O BOX 20310, PNB 55984, CHEYENNE, WY 82003-7007
(307) 212-3284
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-18-31348
CO
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124546239
—
CO
Enumeration date
09/08/2017
Last updated
10/06/2022
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