| NPI | 1669826012 |
|---|---|
| Former Name | JESSICA ADELLE SIVAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: RI LBA00127) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-17-27537) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2025-08-25 |