Individual
JESSIKA OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1145 WESLEY AVE, MUSKEGON, MI 49442-2100
(231) 670-9854
Mailing address
3490 ROOSEVELT RD, NORTON SHORES, MI 49441-4202
(419) 681-1309
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45863
—
Other
Enumeration date
06/29/2015
Last updated
02/26/2021
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