NPI 1104393123

Jessica Marie Childress

Practitioner Behavior Analyst North Pole, AK

Practice location

Address: 203 Santa Clause, North Pole, AK 99705
Phone: (469) 338-2901

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence RBT-18-69145

Other Behavior Analyst providers in Alaska →

Registry record

NPI: 1104393123
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Oct 2018
Record last updated: 29 Oct 2018

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.