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Individual

JESSICA REID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2 N CENTRAL AVE FL 18, PHOENIX, AZ 85004-2322
(801) 435-8088
Mailing address
17250 GRAND PRIX WAY, MORGAN HILL, CA 95037-3726
(408) 607-1156

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68287
CA
106S00000X
Behavior Technician
CA

Other

Enumeration date
11/16/2018
Last updated
05/20/2024
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