Individual
JESSICA SUE NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
715 TERRACE ST, MUSKEGON, MI 49440-1105
(231) 286-9194
Mailing address
715 TERRACE ST, MUSKEGON, MI 49440-1105
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25508
MI
Other
Enumeration date
05/15/2017
Last updated
01/04/2024
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