Most Relevant Information
Provider Data
  | NPI Number: | 1003587130 | 
| Provider Name: | JESSIKA DALY | 
| Entity Type: | Individual | 
| Taxonomy Code: | 106S00000X | 
| Specialty: | Behavior Technician | 
| License Number: | 
Most Important Dates
  | Enumeration Date: | 09/28/2021 | 
| Last Updated: | 09/28/2021 | 
Provider Practice Location
  300 SAINT ANDREWS RD STE 407
      
      SAGINAW
      MI
      486385977
  Practice Location Phone/Fax
      | Phone: | 9894019020 | 
| Fax: | 
Provider Mailing Location
  PO BOX 663
      
      LAKELAND
      MI
      481430663
  Provider Mailing Phone/Fax
      | Phone: | 8105992129 | 
| Fax: |