Individual
JESSICA CLARA REUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2235 STATE ROUTE 161, NEW BADEN, IL 62265-2705
(618) 444-4651
Mailing address
2235 STATE ROUTE 161, NEW BADEN, IL 62265-2705
(618) 444-4651
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
X12
IL
Other
Enumeration date
05/08/2021
Last updated
05/08/2021
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