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Individual

JESSICA ANN HERBST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1112 GALLIA ST, PORTSMOUTH, OH 45662-4161
(317) 674-0981
Mailing address
810 DUNAWAY ST, MIAMISBURG, OH 45342-3833
(937) 336-7686

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
00977
OH
103K00000X
Behavior Analyst
287507
KY

Other

Enumeration date
09/13/2019
Last updated
10/16/2023
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