Individual
JESSICA FOSTER JUANICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA, LBA-MO
Contact information
Practice address
7725 W 87TH ST, OVERLAND PARK, KS 66212-1905
(785) 218-9351
Mailing address
7725 W 87TH ST, OVERLAND PARK, KS 66212-1905
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17666
KS
103K00000X
Behavior Analyst
2016004752
MO
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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