Individual
MS. JESSA MARIE PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
15501 WESTON PKWY STE 150, CARY, NC 27513-8638
(551) 235-1947
Mailing address
7000 AUSTIN ST STE 200, FOREST HILLS, NY 11375-4739
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-34245
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/09/2017
Last updated
01/23/2025
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