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Organization
JENNIFER LYNNE SIMON PHD
Active
Organization
JENNIFER LYNNE SIMON PHD
Active
Other names
Jennifer Lynne Smith PHD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LYNNE SMITH PH.D. (BEHAVIOR ANALYST-DOCTORAL)
(479) 206-3131
Entity
Organization
Contact information
Practice address
2107 NEW HAMPSHIRE ST, LAWRENCE, KS 66046-3047
(479) 206-3131
(855) 860-1954
Mailing address
2107 NEW HAMPSHIRE ST, LAWRENCE, KS 66046-3047
(479) 206-3131
(855) 860-1954
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-06-3152
BOARD CERTIFIED BEHAVIOR ANALYST
—
05
—
10040792A
—
KS
01
—
12306660
CAQH
—
Enumeration date
06/13/2012
Last updated
01/07/2019
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