Individual
JESSICA GAULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
1059 BRIDGE ST, PHILADELPHIA, PA 19124-1824
(267) 225-7180
Mailing address
200 FOREST DR, WILMINGTON, DE 19804-2316
(610) 955-8416
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH007658
PA
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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