Individual
JESSICA VAUGHAN ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 EAGLE CTR STE 1, O FALLON, IL 62269-1945
(618) 206-8816
Mailing address
1251 ENDERBURY DR APT 5, SAINT LOUIS, MO 63125-4731
(314) 278-3437
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/10/2021
Last updated
04/10/2021
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