Individual
JESSICA BURSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1484 N M 52, OWOSSO, MI 48867-1235
(770) 373-5822
Mailing address
1484 N M 52, OWOSSO, MI 48867-1235
(770) 373-5822
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
156F00000X
Technician/Technologist
Primary
—
MI
Other
Enumeration date
07/09/2021
Last updated
02/24/2022
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