Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | WA |
NPI | 1003451758 |
---|---|
Provider Name | Jessica Leslie Morse |
First Address | Woodland Hills, CA 91367-7807 |
Second Address | Lakewood, WA 98499-8109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2019 |
Last Update Date | 15/11/2019 |