Provider Demographics
NPI:1962944165
Name:HESLING, JESSICA (BCABA)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:HESLING
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:52 CANNON DR
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-1730
Mailing Address - Country:US
Mailing Address - Phone:484-757-1565
Mailing Address - Fax:
Practice Address - Street 1:52 CANNON DR
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-1730
Practice Address - Country:US
Practice Address - Phone:484-757-1565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-06
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
PA0-18-8913106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician