Individual
JESSICA RAE BAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSR
Contact information
Practice address
1001 W BROADWAY, FARMINGTON, NM 87401-5638
(505) 443-4102
Mailing address
1001 W BROADWAY, FARMINGTON, NM 87401-5638
(505) 443-4102
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
11/06/2023
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