Individual
JESSICA LEE HOLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
535 BROOKWOOD POINT PL APT 934, SIMPSONVILLE, SC 29681-6912
(574) 903-0305
Mailing address
535 BROOKWOOD POINT PL APT 934, SIMPSONVILLE, SC 29681-6912
(574) 903-0305
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28165
SC
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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