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: |