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Individual

JESSICA WALDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
615 SAINT GEORGE SQUARE CT STE 300, WINSTON SALEM, NC 27103-1368
(336) 360-3798
Mailing address
306 SUMMIT ST, ASHEVILLE, NC 28803-2725
(828) 236-1547

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-21-49327
103K00000X
Behavior Analyst
Primary
1683
NC
103K00000X
Behavior Analyst
LABA10001343
MA

Other

Enumeration date
07/29/2013
Last updated
06/15/2026
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