Individual
JESSICA GROSSFLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
525 N TRYON STREET, SUITE 1600, CHARLOTTE, NC 28202-0213
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41897
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/14/2016
Last updated
05/08/2026
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