Individual
MR. JOSHUA JESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 W LANCASTER AVE, FORT WORTH, TX 76102-3410
(817) 336-8611
(817) 390-2901
Mailing address
1300 W LANCASTER AVE, FORT WORTH, TX 76102-3410
(817) 336-8611
(817) 390-2901
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-13-13176
BOARD CERTIFIED BEHAVIOR ANALYST
TX
Enumeration date
06/30/2015
Last updated
06/30/2015
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