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Individual
MS. JENNIFER LYNN EDGINGTON
Active
Individual
MS. JENNIFER LYNN EDGINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. BCBA, LBA, IBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TR0400X
Rehabilitation Psychologist
1-11-8921
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123456
MOST MAJOR INSURANCE COMPANIES
IL
01
—
1982985859
NPI
IL
Enumeration date
09/06/2011
Last updated
11/17/2022
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