Individual
JESSICA ANN O'BANION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2820B QUAY LOOP UNIT B, HOLLOMAN AFB, NM 88330-8109
(660) 563-1856
Mailing address
2820B QUAY LOOP UNIT B, HOLLOMAN AFB, NM 88330-8109
(660) 563-1856
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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