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NPI Code Detail

MEDICARE: JESSICA LYNNE GARY

MEDICARE: JESSICA LYNNE GARY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106E00000XAssistant Behavior Analyst

General Provider Information

NPI Number : 1427556372
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA LYNNE GARY
Provider Business Mailing Address
First Line : 110 N SAGINAW ST
Second Line :
City : LAPEER
State : MI
Zip : 48446-4600
Country : US
Telephone Number : 810-535-5587
Fax Number :
Provider Business Practice Location Address
First Line : 110 N SAGINAW ST
Second Line :
City : LAPEER
State : MI
Zip : 48446-4600
Country : US
Telephone Number : 810-535-5587
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2018
Last Update Date : 06/07/2026

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Directions to “ JESSICA LYNNE GARY ” Practice Location

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