Individual
MRS. JESSICA LEE IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1830 S ALMA SCHOOL RD, STE 130, MESA, AZ 85210-3056
(480) 902-0771
(480) 967-0804
Mailing address
1830 S ALMA SCHOOL RD STE 130, MESA, AZ 85210-3088
(480) 902-0771
(480) 967-0804
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-75
AZ
Other
Enumeration date
01/20/2011
Last updated
10/18/2024
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