Individual
JESSICA J BLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
424 HIGHWAY 101, LANDRUM, SC 29356-8980
(864) 676-0028
Mailing address
240 BRUCE RD, WESTMINSTER, SC 29693-5442
(727) 255-1624
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59861
SC
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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