Individual
JESIKAH BOYKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
709 N 2ND ST STE 400, PHILADELPHIA, PA 19123-3108
(215) 839-8279
Mailing address
709 N 2ND ST STE 400, PHILADELPHIA, PA 19123-3108
(215) 839-8279
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334214800
—
PA
Enumeration date
08/16/2025
Last updated
08/16/2025
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