Individual
JESSICA NAUGHTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4959 UTICA RIDGE RD, DAVENPORT, IA 52807-3063
(563) 362-9631
Mailing address
4959 UTICA RIDGE RD, DAVENPORT, IA 52807-3063
(563) 362-9631
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-195651
IA
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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