IndividualActive
Jessica Childress
NPI 1104393123 · Behavior Analyst · North Pole, AK
Provider details
- NPI number
- 1104393123
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-18-69145
Mailing address
203 Santa Clause
North Pole, AK 99705
Registry dates
- Enumerated
- 2018-10-29
- Last updated
- 2018-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.