Jessica Amezquita
Behavior Technician in Dearborn, MI. Individual provider (NPI-1).
NPI number1982190450
StatusActive
Last updated in NPPESJul 7, 2018
Details
- NPI
- 1982190450
- Entity type
- Individual (NPI-1)
- Name
- Jessica Amezquita
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 7, 2018
- Last updated
- Jul 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
6275 Schaefer Rd Ste 105Dearborn, MI 48126-2210
Phone 313-652-6701
Mailing address
6275 Schaefer Rd Ste 105Dearborn, MI 48126-2210
Phone 313-652-6701
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