Individual
MRS. JESSICA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. BCBA
Contact information
Practice address
21 1ST ST, NORTH ANDOVER, MA 01845-2407
(781) 710-7966
Mailing address
21 1ST ST, NORTH ANDOVER, MA 01845-2407
(781) 710-7966
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB267625
MA
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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