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JESI GRACE HENDRICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
243 HODGES STREET, 1213 PERKINS MILL ROAD, CLAXTON, GA 30417
(912) 567-5730
Mailing address
258 SUMNER RD, ENIGMA, GA 31749-3218
(129) 548-2173

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-82365
GA
106S00000X
Behavior Technician
RBT-21-191242
GA

Other

Enumeration date
09/27/2022
Last updated
07/06/2025
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