Individual
JESSICA BETH PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16091 W DESERT LN, SURPRISE, AZ 85374-7851
(757) 279-8801
Mailing address
16091 W DESERT LN, SURPRISE, AZ 85374-7851
(757) 279-8801
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-213824
AZ
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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