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Individual

JENNA WIERSMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., BCBA

Contact information

Practice address
3200 HOSPITAL DR STE 202, JUNEAU, AK 99801-7829
(907) 419-5957
Mailing address
3200 HOSPITAL DR STE 202, JUNEAU, AK 99801-7829
(907) 419-5957

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
119981
AK

Other

Enumeration date
03/09/2017
Last updated
02/23/2022
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