Individual
JESSICA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2538 GROVE ST, BLUE ISLAND, IL 60406-2337
(773) 603-6287
Mailing address
2538 GROVE ST, BLUE ISLAND, IL 60406-2337
(773) 603-6287
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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