Individual
JESSICA COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
10719 HAMLIN WAY, CHESTER, VA 23831-1283
(804) 516-9575
Mailing address
10719 HAMLIN WAY, CHESTER, VA 23831-1283
(804) 516-9575
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001218
VA
106E00000X
Assistant Behavior Analyst
0134000183
VA
Other
Enumeration date
04/24/2017
Last updated
02/25/2019
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