Individual
JESSICA KATHERINE VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
280 INTERSTATE NORTH CIR SE SUITE 430, ATLANTA, GA 30339-2450
(770) 956-8511
(770) 956-8907
Mailing address
280 INTERSTATE NORTH CIR SE SUITE 430, ATLANTA, GA 30339-2450
(770) 956-8511
(770) 956-8907
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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