Individual
JESSALYN NICOLE SHEAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16941 N EAGLE RIVER LOOP RD STE 3, EAGLE RIVER, AK 99577-7824
(907) 726-5330
Mailing address
22506 NORTON CT, CHUGIAK, AK 99567-5442
(907) 887-1230
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT
APPLIED BEHAVIOR ANALYSIS
—
Enumeration date
06/19/2019
Last updated
06/19/2019
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