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Jessica Marian Blanco, PA-C
Medical Physician Assistant in Pontiac, Michigan
NPI 1043704802

Jessica Marian Blanco is a Medical Physician Assistant based in Westland, MI and is specialized in Medical. Jessica Marian Blanco practices in Pontiac, MI and has the professional credentials of PA-C. The NPI Number for Jessica Marian Blanco is 1043704802 and holds a License No. (Michigan).

The current practice location address for Jessica Marian Blanco is 44405 Woodward Ave, Pontiac, MI and can be reached out via phone at 248-858-3000.

Location: 44405 Woodward Ave, Pontiac, MI, 48186-9204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043704802
Provider Name
Jessica Marian Blanco
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
44405 Woodward Ave, Pontiac, MI, 48186-9204
Phone Number
248-858-3000
Fax Number
Provider Enumeration Date
06/15/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
44405 Woodward Ave
City
Pontiac
State
Michigan
Zip
48341-5023
Phone Number
248-858-3000
Fax Number
person
Provider Business Mailing Address Details
Address
44405 Woodward Ave
City
Pontiac
State
Michigan
Zip
48341-5023
Phone Number
248-858-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Technician
Speciality
-
Taxonomy
106S00000X
License No.
5601010756 (Michigan)
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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