Individual
JESSICA KATHERINE THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 HARDING AVE, SCIOTOVILLE, OH 45662-5418
(740) 250-4077
(740) 981-3033
Mailing address
411 HARDING AVE, SCIOTOVILLE, OH 45662-5418
(740) 250-4077
(740) 981-3033
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42175
OH
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/29/2017
Last updated
11/14/2024
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