Individual
JESSICA NUESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1704 W INDUSTRIAL DR, ROGERS, AR 72756
(501) 574-3053
Mailing address
1704 W INDUSTRIAL DR, ROGERS, AR 72756-2492
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-49483
AR
Other
Enumeration date
04/03/2019
Last updated
05/05/2021
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