Individual
JAYLIA PRUSSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 W DIVIDE AVE STE 2, BISMARCK, ND 58501-1224
(701) 204-7870
Mailing address
1221 W DIVIDE AVE STE 2, BISMARCK, ND 58501-1224
(701) 204-7870
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L67
ND
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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