Individual
MS. JESSICA ANN IRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4201 VARSITY DR, SUITE C, ANN ARBOR, MI 48108-5005
(734) 926-0740
(734) 369-8851
Mailing address
853 VALLEY CIRCLE DR, APT 101, SALINE, MI 48176-1451
(269) 870-5665
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4391
MI
Other
Enumeration date
12/08/2009
Last updated
02/08/2024
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