Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica James Defore

Individual provider Behavior Technician · NPI 1811467731

Jessica James Defore is a Behavior Technician in Southaven, Mississippi. Licensed in Tennessee. Registered with an NPI since 2018.

Licensed in
TN
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

6858 Swinnea Rd Bldg 6B
Southaven, MS 38671-9493
Phone: (662) 426-6136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Behavior Technician Taxonomy 106S00000X (TN)

Record details

NPI number1811467731
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 4, 2018
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024
Mailing address1493 Baker Rd, Lake Cormorant, MS 38641-9727

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