Female

Jaylia Prussing

Behavioral Analyst in Bismarck, ND(View on Map)

Full Name

Jaylia Prussing

NPI Number

1598355984

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/20/2021

Specialties

(Taxonomies)

Code

103K00000X

Primary Taxonomy

Yes

Licenses

State

North Dakota

License Number

L67

Contact
Information

Purpose

Mailing
Location

Address

1221 W DIVIDE AVE STE 2
1221 W DIVIDE AVE STE 2

City

Bismarck
Bismarck

State

ND
ND

Postal Code

58501-1224
58501-1224

Country

US
US

Telephone Number

(701) 204-7870
(701) 204-7870

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/20/2021

Provider Address

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