Individual
JESSICA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA 1-23-68737
Contact information
Practice address
5400 W ELM ST STE 120, MCHENRY, IL 60050-4035
(662) 279-7792
Mailing address
5400 W ELM ST STE 120, MCHENRY, IL 60050-4035
(662) 279-7792
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68737
—
Other
Enumeration date
11/25/2020
Last updated
10/03/2024
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