Individual
JESSICA MARIE IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2338 W ROYAL PALM RD STE J, PHOENIX, AZ 85021-9339
(800) 249-1266
Mailing address
2338 W ROYAL PALM RD STE J, PHOENIX, AZ 85021-9339
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24875
CA
103K00000X
Behavior Analyst
1553
NC
Other
Enumeration date
04/13/2017
Last updated
10/16/2024
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