Jalessa Mabry
Behavior Technician in Clayton, MO. Individual provider (NPI-1).
NPI number1265186605
StatusActive
Last updated in NPPESFeb 4, 2022
Details
- NPI
- 1265186605
- Entity type
- Individual (NPI-1)
- Name
- Jalessa Mabry
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 4, 2022
- Certification date
- Feb 4, 2022
- Last updated
- Feb 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | MO | Yes |
Practice location
7777 Bonhomme Ave Ste 1800Clayton, MO 63105-1931
Phone 163-620-2069
Mailing address
18726 S Western AveGardena, CA 90248-3813
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Other Behavior Technician providers in Clayton, MO
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All 69 Behavior Technician providers in Clayton · All 544 providers in Clayton
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