Individual
JESSICA FELICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 BLANDING ST, COLUMBIA, SC 29201
(803) 929-0011
Mailing address
309 NEVAMAR DR, COLUMBIA, SC 29223-4612
(717) 635-0120
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33979
—
Other
Enumeration date
10/20/2017
Last updated
11/05/2019
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