Provider Demographics
NPI:1316255078
Name:BJORKMAN, JESSICA LYNN (BCBA, PHD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:LYNN
Last Name:BJORKMAN
Suffix:
Gender:F
Credentials:BCBA, PHD
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:LYNN
Other - Last Name:CHERNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2130 40TH ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:WI
Mailing Address - Zip Code:54025-7333
Mailing Address - Country:US
Mailing Address - Phone:952-913-2854
Mailing Address - Fax:
Practice Address - Street 1:1202 TIKALSKY ST SE
Practice Address - Street 2:
Practice Address - City:NEW PRAGUE
Practice Address - State:MN
Practice Address - Zip Code:56071-4804
Practice Address - Country:US
Practice Address - Phone:952-913-2854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-15
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst