Individual
JESSICA DONVITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LBA, BCBA
Contact information
Practice address
345 DEVERS ST STE 101, FAYETTEVILLE, NC 28303-4753
(910) 400-9013
Mailing address
345 DEVERS ST STE 101, FAYETTEVILLE, NC 28303-4753
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/04/2019
Last updated
05/14/2024
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