NPI 1013392497

Jessica Rydberg, MEDBCBA

Practitioner Behavior Analyst Phoenix, AZ

Practice location

Address: 4530 E Muirwood Dr Suite 103, Phoenix, AZ 85048-7639
Phone: (480) 610-6981
Mailing address: 2406 W Winchcomb Dr, Phoenix, AZ 85023-5930

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1013392497
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jul 2015
Record last updated: 27 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.