Individual
JESSICA CHRISTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2266 S DOBSON RD, MESA, AZ 85202-6488
(480) 757-8090
Mailing address
2266 S DOBSON RD, MESA, AZ 85202-6488
(480) 757-8090
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
01
—
BACB-1-19-36336
BCBA
—
Enumeration date
06/30/2014
Last updated
11/29/2021
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