Individual
JESSICA MORANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
811 POLO RD APT 1428, COLUMBIA, SC 29223-4429
(347) 206-1723
Mailing address
466 MAIN ST # LL20, NEW ROCHELLE, NY 10801-6431
(718) 769-2698
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
01/04/2019
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