| NPI | 1285977363 |
|---|---|
| Former Name | JESSICA BUSHMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-16-23988) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA BCaBA: 0-13-5300) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2024-07-12 |