Individual
TAMI JURSICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1305 S GILBERT RD, GILBERT, AZ 85296-4019
(480) 621-8361
Mailing address
14468 S 43RD ST, PHOENIX, AZ 85044-6143
(708) 655-3497
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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