Individual
JESSICA CAITLYNN GREEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 PENFIELD RD, PENFIELD, NY 14526-1778
(888) 805-0759
(818) 241-6853
Mailing address
1055 E COLORADO BLVD STE 560, PASADENA, CA 91106-2380
(818) 241-6780
(818) 241-6853
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001214
NY
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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