Provider Demographics
NPI:1639440118
Name:JESSICA DEAN CONSULTING
Entity Type:Organization
Organization Name:JESSICA DEAN CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DEAN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:614-353-8773
Mailing Address - Street 1:2610 E MARKS ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-3633
Mailing Address - Country:US
Mailing Address - Phone:614-353-8773
Mailing Address - Fax:866-825-4349
Practice Address - Street 1:2610 E MARKS ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-3633
Practice Address - Country:US
Practice Address - Phone:614-353-8773
Practice Address - Fax:866-825-4349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-16
Last Update Date:2012-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-06-2988251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services