Most Relevant Information
Provider Data
| NPI Number: | 1003441114 |
| Provider Name: | JESSICA A MARTY |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/09/2020 |
| Last Updated: | 03/09/2020 |
Provider Practice Location
1218 MURDELL LN
LIVERMORE
CA
945505244
Practice Location Phone/Fax
| Phone: | 9256671625 |
| Fax: |
Provider Mailing Location
1218 MURDELL LN
LIVERMORE
CA
945505244
Provider Mailing Phone/Fax
| Phone: | 9256671625 |
| Fax: |