Individual
JESSICA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 W 14TH ST, TRAVERSE CITY, MI 49684-4059
(231) 943-1100
Mailing address
515 W 14TH ST, TRAVERSE CITY, MI 49684-4059
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/09/2017
Last updated
02/13/2020
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