Individual
JESSICA MICHELE ESCONTRIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 MCARDLE DR STE ABC, CRYSTAL LAKE, IL 60014-8155
(779) 220-6262
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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