Individual
JESSICA MACHADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
327 MAIN AVE, SUITE G, DE PERE, WI 54115-2202
(920) 341-0123
(818) 758-8015
Mailing address
21600 OXNARD ST, SUITE 1800, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
(818) 758-8015
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
WI
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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