Individual
JESSICA MARIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
79 WINSTON DR STE 229, ROCK SPRINGS, WY 82901-5775
(307) 212-3284
Mailing address
4009 MADISON DR APT 12B, ROCK SPRINGS, WY 82901-4412
(307) 354-8469
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-494372
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-25-494372
BACB
WY
Enumeration date
11/26/2025
Last updated
11/26/2025
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