Individual
JESSICA L WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
912 NE KELLY AVE, GRESHAM, OR 97030-5629
(503) 912-5502
Mailing address
1950 SW 20TH CT, GRESHAM, OR 97080-5791
(971) 200-9910
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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