Individual
JESSICA MARIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
7050 W 107TH ST STE 110, OVERLAND PARK, KS 66212-1829
(913) 802-2227
Mailing address
7050 W 107TH ST STE 110, OVERLAND PARK, KS 66212-1829
(913) 802-2227
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37360
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/20/2017
Last updated
06/03/2021
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