Individual
JESSICA MULVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 MAIN ST, GRAND JUNCTION, CO 81501-3540
(970) 317-7175
(970) 360-5542
Mailing address
PO BOX 2924, GRAND JUNCTION, CO 81502-2924
(970) 433-0117
(970) 360-5542
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36616
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000176002
—
CO
Enumeration date
07/22/2019
Last updated
05/14/2021
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