Most Relevant Information
Provider Data
NPI Number: | 1003585472 |
Provider Name: | GESSICA JUSINO |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 09/09/2021 |
Last Updated: | 05/24/2024 |
Provider Practice Location
850 NW FEDERAL HWY STE 173
STUART
FL
349941019
Practice Location Phone/Fax
Phone: | 7723629878 |
Fax: |
Provider Mailing Location
21880 SW 129TH AVE
MIAMI
FL
331702685
Provider Mailing Phone/Fax
Phone: | |
Fax: |