| Jessup, Inc | |
|
1642 N Volusia Ave Ste 201 Orange City FL 32763-3850 | |
| (386) 628-0295 | |
| (386) 243-4581 |
| Full Name | Jessup, Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1642 N Volusia Ave Ste 201, Orange City, Florida |
| Authorized Official Name and Position | Jamison Jessup (PRESIDENT / OWNER) |
| Authorized Official Contact | 3868017882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessup, Inc 1642 N Volusia Ave Ste 201 Orange City FL 32763-3850 Ph: (386) 628-0295 | Jessup, Inc 1642 N Volusia Ave Ste 201 Orange City FL 32763-3850 Ph: (386) 628-0295 |
| NPI Number | 1922518489 |
|---|---|
| Provider Enumeration Date | 10/10/2017 |
| Last Update Date | 10/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922518489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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