Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Marian Blanco, PA-C

Individual provider Behavior Technician · NPI 1043704802

Jessica Marian Blanco, PA-C is a Behavior Technician in Pontiac, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

44405 Woodward Ave
Pontiac, MI 48341-5023
Phone: (248) 858-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 41521 W 11 Mile Rd, Novi, MI 48375-1803 — (248) 299-0030

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601010756 (MI)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1043704802
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 15, 2018
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021

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