JESICA PETERSON

VALDOSTA, GA
NPI1841783925
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: NM  1-20-44103)
Additional Taxonomies106S00000X Behavior Technician
(Licence: UT  18-57850)
Enumeration Date2018-06-12
Last Update Date2022-01-06
Business Address
Mrs. JESICA PETERSON BCBA, LBA
3121 N OAK STREET EXT
VALDOSTA, GA 31602-1099
Phone number: 800-832-9419
Mailing Address
Mrs. JESICA PETERSON BCBA, LBA
406 JACKSON CIR
LAKE PARK, GA 31636-4928
Phone number: 229-630-2086