Individual
JESSICA BERNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
500 VININGTON COURT, ATLANTA, GA 30350
(770) 500-2905
Mailing address
500 VININGTON COURT, ATLANTA, GA 30350
(770) 500-2905
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43838
GA
Other
Enumeration date
08/24/2020
Last updated
10/06/2020
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