Individual
MS. JESSICA PAIGE BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 HILL DR, PORT JEFFERSON, NY 11777-2107
(631) 512-0044
Mailing address
5 HILL DR, PORT JEFFERSON, NY 11777-2107
(631) 512-0044
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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