Search › North Carolina › 103K00000X

Jessica Gustafson, MA., BCBA

NPI 1265349443 · on the registry since 2026 · sole proprietor

Practice

Address
3200 Spring Forest Rd Ste 206
Raleigh, NC 27616
Phone
(919) 457-4453
Organisation at this address
Liberty Healthcare Group, Llc
Liberty Healthcare Group, Llc
Teaching Alternative Strategies And Knowledge Incorporated
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina