Individual
JILLIANNE VISAGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3939 S AVENUE 3 E, YUMA, AZ 85365-5512
(480) 745-1499
Mailing address
3001 SLUSHER RD APT 302, SUFFOLK, VA 23435-0168
(973) 919-2616
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133002782
VA
103K00000X
Behavior Analyst
Primary
BEH-001905
AZ
Other
Enumeration date
05/28/2019
Last updated
05/26/2026
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