Individual
MADELINE JESSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3190 NORTHEAST EXPY NE STE 110, CHAMBLEE, GA 30341-5323
(404) 487-6005
Mailing address
3190 NORTHEAST EXPY NE STE 110, CHAMBLEE, GA 30341-5323
(404) 295-7941
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/26/2023
Last updated
09/29/2025
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