Individual
MISS JESSICA ANNE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(248) 436-4400
Mailing address
14207 SPRING GATE TER, MIDLOTHIAN, VA 23112-4318
(804) 252-9270
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133003899
VA
106S00000X
Behavior Technician
18-69891
—
Other
Enumeration date
06/23/2020
Last updated
04/03/2025
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