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Jessica Thach

Behavior Technician in Springfield, VA. Individual provider (NPI-1).

NPI number1104735166
StatusActive
Last updated in NPPESSep 4, 2026

Details

NPI
1104735166
Entity type
Individual (NPI-1)
Name
Jessica Thach
Sex
Female
Sole proprietor
No
Enumeration date
Sep 4, 2026
Certification date
Sep 4, 2026
Last updated
Sep 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

5501 Backlick Rd
Springfield, VA 22151-3933

Phone 866-727-8274

Mailing address

2550 N Hollywood Way Ste 301
Burbank, CA 91505-5025

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