Individual
MRS. JESSICA LYNN DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD., BCBA-D, LBA
Contact information
Practice address
18521 E QUEEN CREEK RD STE 105-627, QUEEN CREEK, AZ 85142-5870
(480) 361-1025
(480) 814-7488
Mailing address
9702 EAST COUNTRY PLACE, PALOMINAS, AZ 85615
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000041
AZ
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
09/25/2009
Last updated
07/15/2024
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