Individual
JESSICA ELLEN FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
922 CONTINENTAL ST, ROCK SPRINGS, WY 82901-4806
(307) 922-6644
Mailing address
922 CONTINENTAL ST, ROCK SPRINGS, WY 82901-4806
(307) 922-6644
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
0-23-14484
WY
106S00000X
Behavior Technician
RBT-18-49211
WY
251B00000X
Case Management Agency
—
—
Other
Enumeration date
02/08/2018
Last updated
09/21/2023
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