Individual
MRS. JESSICA JOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
4100 PRICE CLUB BLVD, MIDLOTHIAN, VA 23112-3379
(303) 335-8088
Mailing address
4100 PRICE CLUB BLVD, MIDLOTHIAN, VA 23112-3379
(303) 335-8088
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42180
VA
103K00000X
Behavior Analyst
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—
Other
Enumeration date
07/08/2020
Last updated
10/31/2022
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