Most Relevant Information
Provider Data
| NPI Number: | 1003491457 |
| Provider Name: | JESSICA NICOLE KING |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/16/2021 |
| Last Updated: | 03/16/2021 |
Provider Practice Location
4209 HILLCREST DR
LOS ANGELES
CA
900084315
Practice Location Phone/Fax
| Phone: | 3104978567 |
| Fax: |
Provider Mailing Location
4209 HILLCREST DR
LOS ANGELES
CA
900084315
Provider Mailing Phone/Fax
| Phone: | 3104978567 |
| Fax: |