Individual
JESSICA BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W SOUTH ST, CARLISLE, PA 17013-2722
(717) 245-2187
Mailing address
197 PONTIUS LN, LOYSVILLE, PA 17047-9424
(570) 220-7466
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
Primary
OP010284
PA
Other
Enumeration date
03/09/2022
Last updated
08/16/2022
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