Individual
MS. JESSICA LASHAY AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
664 POWERS AVE, ANNISTON, AL 36205-4419
(256) 770-7323
Mailing address
664 POWERS AVE, ANNISTON, AL 36205-4419
(256) 770-7323
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-75056
—
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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