Individual
JESSICA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10411 NE FOURTH PLAIN BLVD STE 145, VANCOUVER, WA 98662-5755
(360) 210-6168
Mailing address
13812 NW 16TH AVE, VANCOUVER, WA 98685-1811
(360) 901-3138
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61650231
WA
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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