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Individual
JENNIFER MICHELLE POWELL
Active
Individual
JENNIFER MICHELLE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW BCBA LBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003760
NY
104100000X
Social Worker
72086472
NY
Other
Enumeration date
05/27/2014
Last updated
01/03/2025
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