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Individual

JESSICA LEE NATAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., BCBA

Contact information

Practice address
1214 E DAYTON YELLOW SPRINGS RD, SUITE #7, FAIRBORN, OH 45324-6326
(937) 878-8444
Mailing address
1214 E DAYTON YELLOW SPRINGS RD, SUITE #7, FAIRBORN, OH 45324-6326
(937) 878-8444

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18985
OH

Other

Enumeration date
07/09/2015
Last updated
07/09/2015
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