Individual
JESSICA ANN WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9150 W INDIAN SCHOOL RD UNIT A, PHOENIX, AZ 85037-2384
(520) 231-7380
Mailing address
6938 N WALPAI CT UNIT A, GLENDALE, AZ 85307-1208
(951) 232-4455
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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